Marital status (check): Single__ Married__ Number and ages of children ___________________
Date of marriage.________ Separated or divorced (indicate date)________________
FAMILY BACKGROUND
Father's name__________________________ If deceased, when? __________
Where employed?________________________ Positio.~--------------
If father attended college, where? ------------------------- Number of years_____
Mother's full name ________________________ If deceased, when? __________ (INCLUDE MAIDEN NAME) Where employed?________________________ Positio ~--------------
If mother attended college, where?------------------------ Number of years_____
If parents are separated, give date of separation ______________________ If parents are separated, MONTH YEAR with whom do you live?----------------------------------------
Number of children older than yourself:
Brothers _____________ Sisters _____________
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 schoo,,____________________________ MONTH YEAR Name of high school _______________________________________ Address of high school_______________________________________ CITY STATE If you have been 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
Yes__ No__
Have you ever been dismissed or placed on academic or disciplinary probation?
If yes, explain the circumstances:
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. 196
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