Mother's full name ______________________
If deceased , when?__________________
(Include maiden name) Where employed?____________ _ __________ _ Position ______________________
If mother attended college, where?__________________ Number of years__________________
If parents are separated, give date of separation ---------- ---------------------------- Month Yea r
If parents are separated, with whom do you live?______________________________________
Brothers
Sisters
Names and ages of children older than yourself:
Sisters
Names and ages of children younger than yourself:
Brothers
Members of your family who have attended Biola: -------------------------------------
EDUCATIONAL EXPERIENCE
Anticipated (or past) graduation date from high school---------------------------------- Month Year
Nameof high school ______________________________________________
Address of high school --------------------------------------------- City Stott
If you have graduated from high school, list in chronological order your activities since high school graduation (schools attended, employment, military ser vice, extended travel, etc.). Schools must be listed even if you do not expect to transfer credit. Please include Biola extension courses, if applicable. School, Work, Travel Dates
D No
D Yes
If yes, complete the following:
Have you earned a degree from any college or university?
Degree______________________
College_________________________
Date Conferred ___________________
Major
D Yes
D No
Have you ever been dismissed or placed on academic or disciplinary probation?
If yes, explain the circumstances:
The Scholastic Aptitude Test (SAT) or the American College Test (ACT) is REQUIRED, unless as a transfer you will have sophomore status (requires a minimum of 27 accepted units). Please indicate the testing date on which you plan to take (or have taken) the: SAT____________ or ACT_____________
Yea r
Year
Month
Mon th
NOTE: Regardless oftransfer status, any nursing major and student seeking a teaching credential must take the SAT
Indicate your possible major. ---------------------------------------------
What are your vocational goals? ____________________________________________
Nursing majors: See catalog for procedures for acceptance into the School ofNursing. Are you currently D A Registered Nurse?
D or enrolled in a nursing program?
D A Licensed Vocational Nurse?
Separate applications must be made to the nursing program for registered nurses, licensed vocational nurses and all others applying to the Department of Nursing. Nursing Department application forms will be mailed upon receipt of this application.
TRANSFER STUDENTS If you are transferring from another school, please explain your reasons for wanting to transfer.
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