| Date: |
Enrollment Term: |
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| Personal Information |
| First Name: |
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| Middle Initial: |
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| Last Name: |
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| Gender: |
Male Female |
| Date of Birth: |
19 |
| Citizenship: |
U.S. Other Country: |
| Are you a U.S. Permanent Resident / Green Card Holder? Yes No |
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| Contact Information |
| Mailing Address: |
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| City: |
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| State: |
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| Zip/Postal Code: |
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Country Code
(if outside U.S.): |
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| City Code (if outside U.S.): |
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| Area Code: |
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| Phone Number: |
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| E-mail Address: * |
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| Secondary School Information |
| If you completed Secondary School from a foreign location, please fill out the information provided below. |
| School Name: |
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School Location
(City, Country): |
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| Completion Date: |
Year: |
| Are you a University Transfer Student? Yes No |
If Yes, College/
University Name: |
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| Years Completed: |
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| Proficiency Exam Information |
| Simpson requires all international applicants to take the SAT I or TOFEL. |
| SAT I Verbal: |
SAT I Math: |
| Exam Date: |
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| TOEFL Score: |
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| Exam Date: |
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| Primary Language: |
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| Academic Information |
| Entering as: |
Freshman Transfer |
If a transfer student, please list all colleges attended:
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| High School: |
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| Graduation Year: |
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| H.S. GPA: |
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| Class Rank: |
out of |
| College GPA: |
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| Academic Interest(s): |
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Extracurricular Activities, Honors, etc.:
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| Financial Information |
| Do you intend to apply for financial assistance? YesNo |
| How much (in U.S. dollars) do you think you and your family will be able to pay for each year of your education in the United States? |
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Comments or Questions?
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