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?______________________________________



Names and ages of children older than yourself:


Names and ages of children younger than yourself:


Members of your family who have attended Biola: -------------------------------------


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?



Date Conferred ___________________


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



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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