Online Undergraduate Application Checklist Online Undergraduate Application for Admission Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: Page 1 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 on campus in Portland or Reno, please complete the standard Undergraduate Application for Admission form instead. Admission forPlease select... March 2020 (Spring Semester, B Session) August 2020 (Fall Semester, A Session) October 2020 (Fall Semester, B Session) May 2020 (Summer Semester, A Session) June 2020 (Summer Semester, B Session) January 2021 (Spring Semester, A Session) March 2021 (Spring Semester, B Session) CampusOnline Desired MajorPlease select... Applied Psychology Biblical and Theological Studies Business Management Undecided 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 Please select... AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY Outside the US AA AE AP AS DC FM GU PW VI State Zip Code Hidden Fields Student (Record Type) Constituent (Record Type) Household (Record Type) Educational Institution (Record Type) Page 2 Additional Personal Information Are you a U.S. Citizen? Yes No Are you a U.S. Permanent Resident? Yes No 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 CitizenshipPlease select... United States of America Canada Afghanistan Albania Algeria Andorra Angola Antigua Argentina Aruba Austria Australia Azores Bahamas Bahrain Balearic Islands Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canal Zone Canary Islands Cape Verde Islands Cayman Islands Central African Republic Chad Chile Peoples' Republic of China Colombia Comoro Islands Congo Cook Islands Corsica Costa Rica Cote d'Ivoire Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Estonia Ethiopia East Timor Faroe Islands Fiji Islands Finland France French Guiana French Polynesia Gabon Gambia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea-Bissau Guinea Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Laos Latvia Lebanon Leeward Islands Lesotho Liberia Libya Liechtenstein Lithuania Laos Luxembourg Macao Republic of Macedonia Madeira Islands Malagasy Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Federated States Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands Nevis New Britain New Caledonia New Hebrides New Zealand Nicaragua Niger Nigeria North Korea Northern Ireland Norway Okinawa Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Principe Qatar Reunion Islands Romania Russia Rwanda Ryukyu Islands Saudi Arabia South Africa Scotland Senegal Seychelles Islands Sierra Leone Sikkim Singapore South Korea Slovakia Slovenia Solomon Islands Somolia Spain Spanish North Africa Spanish Sahara Sri Lanka Santa Cruz Islands St. Kitts St. Lucia St. Thomas St. Vincent Sudan Sultanate of Oman Suriname Southwest Africa Swaziland Sweden Switzerland South Yemen Syria Taiwan Tanzania Thailand Tobago Togo Tonga Trinidad Turks Island Tunisia Turkey Tuvalu Uganda United Kingdom Ukraine United Arab Emirates Uruguay Vatican City Venezuela Vietnam Virgin Islands Wales Windward Islands Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe Country of Birth (If Different than Citizenship)Please select... United States of America Canada Afghanistan Albania Algeria Andorra Angola Antigua Argentina Aruba Austria Australia Azores Bahamas Bahrain Balearic Islands Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canal Zone Canary Islands Cape Verde Islands Cayman Islands Central African Republic Chad Chile Peoples' Republic of China Colombia Comoro Islands Congo Cook Islands Corsica Costa Rica Cote d'Ivoire Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Estonia Ethiopia East Timor Faroe Islands Fiji Islands Finland France French Guiana French Polynesia Gabon Gambia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea-Bissau Guinea Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Laos Latvia Lebanon Leeward Islands Lesotho Liberia Libya Liechtenstein Lithuania Laos Luxembourg Macao Republic of Macedonia Madeira Islands Malagasy Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Federated States Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands Nevis New Britain New Caledonia New Hebrides New Zealand Nicaragua Niger Nigeria North Korea Northern Ireland Norway Okinawa Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Principe Qatar Reunion Islands Romania Russia Rwanda Ryukyu Islands Saudi Arabia South Africa Scotland Senegal Seychelles Islands Sierra Leone Sikkim Singapore South Korea Slovakia Slovenia Solomon Islands Somolia Spain Spanish North Africa Spanish Sahara Sri Lanka Santa Cruz Islands St. Kitts St. Lucia St. Thomas St. Vincent Sudan Sultanate of Oman Suriname Southwest Africa Swaziland Sweden Switzerland South Yemen Syria Taiwan Tanzania Thailand Tobago Togo Tonga Trinidad Turks Island Tunisia Turkey Tuvalu Uganda United Kingdom Ukraine United Arab Emirates Uruguay Vatican City Venezuela Vietnam Virgin Islands Wales Windward Islands Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe Please note: There is no federal or institutional aid awarded to undergraduate students enrolled in online programs. Gender Female Male Date of Birth Do you plan to apply for financial aid? Yes No Are you an honorably discharged veteran of active duty in any branch of the US Armed Forces? Yes No Currently Service Do you have special needs that Multnomah should be aware of to help you succeed? Yes No 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 No 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 StatusPlease select... Single Married Separated Divorced Widow/Widower Parent, Guardian or Spouse InformationStudents under the age of 21 are asked to provide information about their parents or guardians Relationship to youPlease select... Mother Father Guardian Spouse First Name Last Name Phone Email Please note: This email address should not match the email given for other individuals on this application. Entering the same email address as the applicant or other individuals on this form may result in a technical error. Does this person share your mailing address? Yes No Mailing Address City Please select... AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY Outside the US AA AE AP AS DC FM GU PW VI State Zip Code Page 3 Academic History High School Year of high school graduationPlease select... 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 High School Name City StatePlease select... AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY Outside the US AA AE AP AS DC FM GU PW VI Are you or will you be a home school graduate? Yes No Have you received, or will you receive, a GED? Yes No 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 No Please list every post-secondary institution you have attended or are currently attending. Failure to list all institutions you have attended may result in denial or revocation of admission or disciplinary action. Please list institutions beginning with the most recent. Use the "Add Another Institution" button to enter information for more than one college. Institution Name City StatePlease select... AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY Outside the US AA AE AP AS DC FM GU PW VI Attended from: Please use the format mm/dd/yyyy to avoid processing errors. Approximate month and day is acceptable. Attended to: Please use the format mm/dd/yyyy. If currently attending, enter an estimated date for completion. Are you currently enrolled at this institution? Yes No Approximate Credits Earned Page 4 Lifestyle & Background Have you used illegal substances within the last year? Yes No If yes, please provide an explanation Have you pled guilty (or no contest), been adjudicated, or otherwise been convicted of a crime or subject to a civil indictment or other disciplinary action? Yes No Do not include infractions such as speeding tickets. Please explain Please note that offers of admission may be revoked should additional information arise that indicates unlawful or unethical behavior. Criminal or Disciplinary Disclosure & Authorization to Release Information Because you indicated that you have a civil or criminal indictment, conviction, history and/or disciplinary action on this application, you will be asked to complete a background check once all of your application materials are received and processed.A previous disciplinary action, conviction, indictment or prosecution may not automatically bar an applicant from admissions to the university. We request that the applicant provide the Admissions Office permission to obtain a background check (at no cost to the student). By electronically signing below, the applicant authorizes Multnomah University to have complete access to pertinent educational, employment, criminal and civil information and records: Name: Date Signed: Please provide a complete and detailed explanation regarding any civil or criminal indictment, conviction, history and/or disciplinary action: 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 No I have read Multnomah’s doctrinal statement and I agree to respect and support it while studying at the university. Yes No If not, please explain. Church Involvement Do you attend a church?YesNo What is the name of the church you attend? City, State DenominationPlease select... Non-Denominational American Baptist Assembly of God American Missionary Fellowship Anglican Baptist Bible Brethren Catholic Believer Catholic Conservative Baptist Church of Christ Congregational Christian Christian & Missionary Alliance Community Covenant Evangelical Church of North America Evangelical Free Episcopal Free Methodist Friends Foursquare General Conference Baptist Church of God Independent Ind Fundamental Churches of America Interdenominational Jewish Believer Jewish Lutheran Mennonite Brethren Methodist Nazarene Plymouth Brethren Pentecostal Presbyterian Protestant Believer Protestant Regular Baptist Roman Catholic Reformed Southern Baptist Seventh Day Adventist Unknown Village Missions Wesleyan Methodist 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 Email Please note: This email address should not match the email given for other individuals on this application. Entering the same email address as the applicant or other individuals on this form may result in a technical error. Relationship to youPlease select... Academic or Professional Reference 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 AuthorizationBy 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?Please select... Alumni Admissions Counselor College Fair Co-worker or Employer Current MU Student Friend Guidance Counselor or Teacher Google Search MU Faculty or Staff Parent or Relative Pastor Radio Visit to my high school Web advertisement Other Explain What is the primary factor influencing your decision to apply?Please select... Academic Programs Offered Academic Reputation Admissions Counselor Alumni Beliefs/Values Campus Event Campus Visit Classmate College Fair Co-worker or Employer Friend Guidance Counselor Location Mail or email communication MU Faculty or Staff Other 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 responsibility to be aware of the policies within the Student Handbook; I have read the Student Handbook and agree to respect and support the policies, community standards, and values therein, as is my responsibility as a student of Multnomah University. Yes No I understand and affirm the following:If admitted, I will be learning in a Christian environment All of my professors will be Christian Christian theology and the Bible will be woven into all of my coursework I will respect Multnomah's guidelines and Doctrinal statement Links:Mission StatementStudent 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. Save my progress and resume later | Resume a previously saved form Contact Information
