Mother's full name _______________________ If deceased, when?_________________ (Incl ude maiden name) Where employed?_______________________ Position _____________________
If mother attended college, where?________________ _ Number of years__________________
If parents are separated, give date of separation ------------------------------------- Month Year
If parents are separated, with whom do you live?_____________________________________
Names and ages of children older than yourself:
Brothers
Sisters
Names and ages of children younger than yourself:
Brothers
Sisters
Members of your family who have attended Biola: ------------------------------------
EDUCATIONAL EXPERIENCE
Anticipated (or past) graduation date from high school ---------------------------------- Month Year
Nameofhighschool ______________________________________________
Address of high school ------------------------------------------- City State
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
Have you earned a degree from any college or university?
D Yes
If yes, complete the following:
□ No
College_________________________
Degree _____________________
Date Conferred __________________
Major
Have you ever been dismissed or placed on academic or disciplinary probation?
D Yes
D No
If yes, explain the circumstances:
The Scholastic Aptitude Test (SAn or the American College Test (Acn 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:
or ACT______________
SAT____________
Year
Month
Month
Year
NOTE: Regardless of transfer 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 A Licensed Vocational Nurse?
D or enrolled in a nursing program?
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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