Online Undergraduate Application

Online Undergraduate Application Checklist

Online Undergraduate Application for Admission

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Online Undergraduate Application for Admission

Please complete this Application if it is your intent to take Multnomah classes solely in an online format.

If you plan to take classes both in residence (i.e., on campus in Portland or Reno) and online, please complete the standard Undergraduate Application for Admission form.

Admission for

Campus

Online

Desired Major

Name

First Name

Middle Name

Last Name

Preferred First Name (If Different)

E-mail

Cell Phone

Home Phone

Allow Text Messages

Allow

Do Not Allow

Mailing Address

City

State

Zip Code

Hidden Fields

Student (Record Type)

Constituent (Record Type)

Household (Record Type)

Educational Institution (Record Type)

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Additional Personal Information

Are you a U.S. Citizen?

Yes

Are you a U.S. Permanent Resident?

Yes

An international student is one who will be attending a university in the United States without residency or citizenship, typically on an F-1 visa. International students have additional application requirements as part of the Visa application process, often including an English language proficiency exam and transcript evaluation by an evaluation service. The admissions department can assist with questions about this process.

Country of Citizenship

Date of Birth

Gender

Female

Male

Do you plan to apply for financial aid?

Yes

Are you an honorably discharged veteran of active duty in any branch of the US Armed Forces?

Yes

Currently Service

Do you have special needs that Multnomah should be aware of to help you succeed?

Yes

Information shared here is confidential and will not be a factor in your admission decision

Please help us understand

Ethnic & Racial Information (Optional)

Are you Hispanic/Latino?

Yes

Optional - this information will not be a factor in your admission decision

Please select one or more of the following races:

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite or Caucasian

Optional - this information will not be a factor in your admission decision

Household

Will you be 21 or older when you begin your first semester?

YesNo

Marital Status

Parent, Guardian or Spouse Information

Students under the age of 21 are asked to provide information about their parents or guardians

Relationship to you

First Name

Last Name

Phone

Does this person share your mailing address?

Yes

Mailing Address

City

State

Zip Code

Page 3

Academic History

High School

Year of high school graduation

High School Name

City

State

Are you or will you be a home school graduate?

Yes

Have you received, or will you receive, a GED?

Yes

SAT & ACT

I have taken or plan to take the SATI have taken or plan to take the ACTTest scores are not required for admission, but may help you qualify for an academic scholarship. Please note that SAT or ACT scores are an admission requirement for home school graduates

College

Have you attended college or university?

Yes

Institution Name

City

State

Attended from:

Attended to:

Are you currently enrolled at this institution?

Yes

Approximate Credits Earned

Page 4

Lifestyle & Background

Have you used illegal substances within the last year?

Yes

If yes, please provide an explanation

Have you pled guilty (or no contest), been adjudicated, or otherwise been convicted of a crime in any court?

Yes

Do not include infractions such as speeding tickets.

Please explain

Multnomah's Doctrinal Statement

Multnomah University welcomes students from a variety of denominational backgrounds. The University holds to a short list of doctrinal articles. Though it does not require students to be in agreement with all points, it is important that you be familiar with the university’s doctrinal statement, found at www.multnomah.edu/about/doctrinal-statement.

I am a Christian

Yes

I have read Multnomah's doctrinal statement and I am confortable studying at an institution that holds to these positions.

Yes

If not, please explain.

Church Involvement

Do you attend a church?

YesNo

What is the name of the church you attend?

City,State

Denomination

Academic or Professional Reference

Multnomah requires the submission of one Academic or Professional Reference form for the Undergraduate Online Program.

You may not use a family member as your reference.

Please provide the name and contact information for the individual you intend to use as a reference. By submitting this application for admission, you are waiving your right to see the reference form that is submitted on your behalf. If you provide an email address for your reference below, the Admissions Office will email him or her a link to the online reference form.

Name

First Name

Last Name

Phone

Relationship to you

Please note: In some circumstances, we may ask for an additional reference. If this is the case, your admissions counselor will let you know and request the additional information.

Reference Authorization

By providing this information I am authorizing Multnomah to contact the person listed above as my reference. I understand that the information provided by my reference will be used as part of the admission decision process, and I waive my right to review this information.

Decision Factors

How did you first hear about Multnomah?

Explain

What is the primary factor influencing your decision to apply?

Explain

Name of the person who referred you (so we can thank them)

Certification & Authorization

By submitting this application, I certify that I have provided complete and accurate statements on this application, and I waive my right to see reference forms that are submitted on my behalf. I understand that if it is found to be otherwise, this may be cause for rejection or dismissal. I understand that it is my right to be aware of the policies within the Student Handbook; I have read the Student Handbook and agree to respect by the policies, community standards, and values therein, as will be my responsibility as a student of Multnomah University.

Yes

Links:

Mission Statement

Student Life Handbook

Please type your full name in this box as a signature certifying the preceding statements are accurate and complete, to the best of your knowledge.

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