Family Background
Father's name ____________________ If deceased, when? _________________
Whe1-e employed? __________________ Position ________ ______________
If father attended college, where I ____________ Number of years ---------------------,---
Mother's full name __________________ If deceased, when? _________________ (INCLUDE MAIDEN NAME) Where employed? -------------------------------------------
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? -------------------------------
Brothers ____ ________ Sisters ____ _________
Number of children older than yourself:
Brothers ____________ Sisters _____________
Number- of children younger than yoursel f:
Members of your family who have attended Biola ------------------- -----------
Educational Experience
Anticipated (or past) graduation date from high school ----------------------------- MONTH YEAR Name of high school __________________________________________
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 service, extended travel, etc) Schools must be listed even though you do not expect transfer credit Please include Biola extension courses, if applicable. School , Work, Travel Dates
Have you earned a degree from any college or university? Yes D No D
If yes, complete the followi ng:
College ------- ---- ----------------------Degree: ___ ________
MaJor --------------------------------- Date Conferred: _______ Have you ever been dismissed or placed on academic or disciplinary probation? Yes D No D If yes, explain the orcumstances
The Scholastic Aptitude Test (SAT) or 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 YEAR MONTH YEAR NOTE Regardless of transfer status nursing majors and students 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 of nursi ng. Are you currently a Registered Nurse? ___ A Licensed Vocational Nurse 7 ___ or enrolled in a nursing program? ___ Separate application must be made to the nursing program for Registered Nurses, Licensed Vocational Nurses and all others applying to the department of nursing. Nursing departmental application forms will be mailed upon receipt of this application. If you are transferring from another school, please explain your reasons for wanting to transfer:
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