International Student Online Application

* Indicates a Required Field.
Personal Information
(As it appears on passport)*First/Given Name:
(As it appears on passport)*Last/Family Name:
(As it appears on passport) Middle Name:
*Gender:
*Date of Birth:
*Country of Citizenship:
*Country of Birth:
Permanent Residence
*Address:
*City:
State/Province:
*Country:
*Postal Code:
*Do you currently have a US Visa?
If Yes, what type?
Contact Information
Please enter at least one phone number
Home Phone(w/Area Code):
Mobile Phone(w/Area Code):
*Email Address:
Plans at Ohio Dominican University
*Do you intend to earn...
*Major:
Minor:
Type of Teaching License: If applicable
*When do you plan to attend Ohio Dominican University(year/semester):


Your student status:
Do you plan to live on campus?
Have you previously applied to Ohio Dominican?
Have you previously attended Ohio Dominican?
SAT/ACT/TOEFL Information
SAT Information
Completed SAT?
SAT Completion Date:
SAT Results: V:   M:  | or Total:
I have not completed the SAT.
Will complete by:
I have no intention of completing the SAT   
ACT Information
Completed ACT?
ACT Completion Date:
ACT Composite Score:
I have not completed the ACT.
Will complete by:
I have no intention of completing the ACT   
TOEFL Information
Completed TOEFL?
TOEFL Completion Date:
TOEFL Results: Total Score:   Version:
I have not completed the TOEFL.
Will complete by:
I have no intention of completing the TOEFL   
Education History
High School Information
Have you, or will you be graduating from high school?
High School Name:
Address:
City:
State/Province:
Country:
Postal Code:
High School Phone Number:
Graduation Date:
Past Colleges Attended
College #1
Institution Name:
City:
State/Province:
Country:
Entrance Date:
Exit Date:
Graduated?
If completed, what certificate, diploma, or degree(s) did you earn?
Credits earned:
College #2
Institution Name:
City:
State/Province:
Country:
Entrance Date:
Entrance Date:
Graduated?
If completed, what certificate, diploma, or degree(s) did you earn?
Credits earned:
College #3
Institution Name:
City:
State/Province:
Country:
Entrance Date:
Entrance Date:
Graduated?
If completed, what certificate, diploma, or degree(s) did you earn?
Credits earned:
Parents' Information
If you are currently living with a parent(s) or fuardian(s), please complete the following information:
Father/Guardian
First/Given Name:
Last/Family Name:
Deceased:
Address(If different from yours):
City:
State/Province:
Country:
Postal Code:
Home Phone Number:
Work Phone Number:
Employer:
Occupation:
Mother/Guardian
First Name:
Last Name:
Deceased:
Address(If different from yours):
City:
State/Province:
Country:
Postal Code:
Home Phone Number:
Work Phone Number:
Employer:
Occupation:
Miscellaneous Information
To which, if any, other schools are you applying?
(This will in no way affect the Admission Committee decision).
Where did you hear about Ohio Dominican University?
If "Other", please specify:
Who most influenced you to apply?
Please list any family members who have attended ODU:
Beginning with the most recent, list any jobs or significant volunteer experiences (not previously stated):
List academic honors you have received:
List non-academic honors you have received:
List extracurricular activities and/or hobbies:
Please tell us about yourself and why you want to study at Ohio Dominican University:
(200 Character Maximum)
Biographic Information
All of the following fields are options.
Religious Preference:
Marital Status:
I certify that this information is true and complete to the best of my knowledge. Falsification of information on this application could invalidate acceptance and enrollment. I authorize any schools or colleges I have previously attended to release my personal and academic information to Ohio Dominican University representatives. I agree that my college grades may be used for statistical studies or sent to my previous schools for evaluation purposes. I understand that official high school (or college) academic transcripts and the results of my SAT/ACT/TOELFL examinations must be received by the Ohio Dominican University International Office before any admission decisions can be made.

I certify that my name entered in the text field below counts for all intents and purposes for the submission of this form as my signature. (You must also submit a written and signed confirmation letter)
*