Mother's full name _ _ ___ _ _ ___ _____________ If deceased, when?_________________ (Jn clMde maiden ,iame) Where employed?_______________________ Position _____________________
If mother attended college, where?_________________ Number of years__________________
If parents are separated, give date of separation ------------------------------------- Monrh Year
If parents are separated, with whom do you live?_____________________________________
____ Brothers
Sisters
Number of children older than yourself:
Number 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 --- - --------------------------------------- sta te
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
Have you earned a degree from any college or university?
D Yes
If yes, complete the following:
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 (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______________
Month
Yea r
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 ARegistered 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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