8
 Apply Online (save $15) We eae app e web e a: www.qpa.ed/app. (e appa ee $30 paabe b ed ad), e c Appa a www.app. Instructions for Applicants This is an opportunity or you to tell us about yoursel. By flling out this Applica- tion or Admission, you provide Quinnipiac with inormation we need to make an admission decision. We recognize that there is more to you than the inormation requested on this application. We encourage you to arrange or a campus visit and admissions inter - view so we can meet with you to discuss your achievements, your education plans, and your career goals. A campus visit and admissions interview also gives you a chance to learn more about Quinnipiac; to ask questions o us and to explore the a- cilities and services available on our campus. I you have any questions about this application, or would like to arrange a campus visit and admissions interview, please call the Ofce o Undergraduate Admissions at (203) 582-8600 or 1 (800) 462-1944. General Information Please complete all sections o this application and return it to the Ofce o Under- graduate Admissions. I you are applying or re-admission, speci al status, graduate programs, the College o Proessional Studies, the accelerated nursing program, or law school admission, you should not fle this application. Ap plications or those purposes are available rom the Ofces o Undergraduate or Graduate Admissions. Please note that post-high school attendance at any other college, even i course work was not completed or is not applicable to your current study plans, constitutes a transer application, and transcripts must be provided. Financial Aid Applicants I you wish to be considered or fnancial aid, please check the appropriate box in section 3 o the application. Quinnipiac practices ‘need blind’ admissions —we do not take fnancial need into account when making admissions decisions. To apply or fnancial aid, you’ll need to fle the FAFSA (Free Application or Federal Student  Aid - QU code 001402) You can fle your FAFSA online at www.asa.ed.gov. Deadlines Quinnipiac practices rolling admissions which means we review applications on an ongoing basis. We admit about 50% o those who apply, and oten have a considerable number o students on a waitlist. Each year, approximately 15% o those choosing to remain on our waitlist are oered admission. Fee: We recommend that you apply as early as possible in your senior year. The Admissions Committee begins to review completed applications in mid-November and we begin to notiy students in early January. All physical therapy, nursin g and physician assistant majors should apply by November 1st, and February 1st is the recommended deadline or all other programs. ta e de: We recommend that you apply by mid November or the spring (January) semester, and prior to April 1st or the all (August) semester.  Athletic Training, Physical Therapy and Nursing transer applicants must apply by March 1. Please visit our website at www.quinnipi ac.edu/x79.xml or com- plete details. Transer applications or the all semester will be considered complete when we receive grades rom the previous all semester. Decisions will be made pending successul completion o current academic work. Quinnipiac subscribes to the Candidate Reply Date agreement, which gives you until May 1 to act on an oer o admission made beore that date. Students who are placed on a waitlist will be notifed o any movement by June 1. Internationa l Students In addition to the application requirements listed, i English is not your primary language, the results o a TOEFL or APIEL exam must be provided to the Admis- sions Ofce. Y ou are required to take the SAT I, only i English is your primary language. Admitted students must provide a statement o fnancial support in order to receive an I-20 orm. International Students are eligible to receive a n International Student Scholarship and/or grant awards based on the strength o their previous educa- tion, and/or fnancial need. Students may fle the International Student Financial  Aid Application, which is on our website, or a needs analysis and send it to the  Admissions Ofce. Q uinnipiac u niversity 275 Mount Carmel Avenue Hamden, CT 06518  Application  Admission fo r Quinnipiac University has a strong commitment to the principles and practices o diversity throughout the University community . Women, members o minority groups, and individuals with disabilities are encouraged to consider and apply or admission. Quinn ipiac University does not discriminate on the basis o race, color, creed, gender, age, sexual orientat ion, national and ethnic origin, or disability status in the administrati on o its educational and admissions policies, employment policies , scholarship and loan programs, athletic programs, or other university-administ ered programs.

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Apply Online (save $15)We e a e app e web e a :

www.q p a .ed /app .( e app a ee $30 pa ab e b ed a d), ec App a awww. app.

Instructions for ApplicantsThis is an opportunity or you to tell us about yoursel . By flling out this Applica-tion or Admission, you provide Quinnipiac with in ormation we need to make an

admission decision.

We recognize that there is more to you than the in ormation requested on this

application. We encourage you to arrange or a campus visit and admissions inter-

view so we can meet with you to discuss your achievements, your education plans,

and your career goals. A campus visit and admissions interview also gives you a

chance to learn more about Quinnipiac; to ask questions o us and to explore the a-

cilities and services available on our campus. I you have any questions about this

application, or would like to arrange a campus visit and admissions interview, please

call the O fce o Undergraduate Admissions at (203) 582-8600 or 1 (800) 462-1944.

General InformationPlease complete all sections o this application and return it to the O fce o Under-

graduate Admissions. I you are applying or re-admission, special status, graduate

programs, the College o Pro essional Studies, the accelerated nursing program,

or law school admission, you should not fle this application. Applications or those

purposes are available rom the O fces o Undergraduate or Graduate Admissions.

Please note that post-high school attendance at any other college, even i

course work was not completed or is not applicable to your current study plans,

constitutes a trans er application, and transcripts must be provided.

Financial Aid ApplicantsI you wish to be considered or fnancial aid, please check the appropriate box in

section 3 o the application. Quinnipiac practices ‘need blind’ admissions —we do

not take fnancial need into account when making admissions decisions. To apply

or fnancial aid, you’ll need to fle the FAFSA (Free Application or Federal Student

Aid - QU code 001402) You can fle your FAFSA online at www. a sa.ed.gov.

DeadlinesQuinnipiac practices rolling admissions which means we review applicatio

on an ongoing basis. We admit about 50% o those who apply, and o ten hav

considerable number o students on a waitlist. Each year, approximately 15%

those choosing to remain on our waitlist are o ered admission.

F e e :We recommend that you apply as early as possible in

your senior year.The Admissions Committee begins to review completed applications

mid-November and we begin to noti y students in early January. All ph

therapy, nursing and physician assistant majors should apply by Novem

1st, and February 1st is the recommended deadline or all other program

t a e de :We recommend that you apply by mid November o

spring (January) semester, and prior to April 1st or the all (August) se

Athletic Training, Physical Therapy and Nursing trans er applicants mus

by March 1. Please visit our website at www.quinnipiac.edu/x79.xml o

plete details. Trans er applications or the all semester will be consid

complete when we receive grades rom the previous all semester. Deciwill be made pending success ul completion o current academic work

Quinnipiac subscribes to the Candidate Reply Date agreement, which gives y

until May 1 to act on an o er o admission made be ore that date. Student

are placed on a waitlist will be notifed o any movement by June 1.

International StudentsIn addition to the application requirements listed, i English is not your prim

language, the results o a TOEFL or APIEL exam must be provided to the A

sions O fce. You are required to take the SAT I, only i English is your prim

language. Admitted students must provide a statement o fnancial support in

order to receive an I-20 orm.International Students are eligible to receive an International Student

Scholarship and/or grant awards based on the strength o their previous edu

tion, and/or fnancial need. Students may fle the International Student Financi

Aid Application, which is on our website, or a needs analysis and send it to

Admissions O fce.

Q uinnipiacu niversity

275 Mount Carmel Avenue

Hamden, CT 06518

Application Admissionfor

Quinnipiac University has a strong commitment to the principles and practices o diversity throughout the University community. Women, members o minority groups, and individuals with disabilities are encoura

and apply or admission. Quinnipiac University does not discriminate on the basis o race, color, creed, gender, age, sexual orientation, national and ethnic origin, or disability status in the administration o its educ

admissions policies, employment policies, scholarship and loan programs, athletic programs, or other university-administered programs.

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A Completed Application For most programs a completed application consists o :

• A Quinnipiac application or admission.

• A one-page essay included with your application (minimum 250 words).

• A high school transcript o completed courses. This must be mailed by your

school to the O fce o Undergraduate Admissions, Quinnipiac University,

Hamden, CT 06518-1940. Seniors should arrange to have frst quarter

grades sent when available.

• Trans er applicants must send a high school transcript unless an Associateor Bachelor’s degree has been completed. Trans er students normally are

expected to present a grade point average o at least 2.5 or previous col-

lege work. Some majors require a higher gpa or consideration. Prospective

trans er candidates are encouraged to discuss their academic plans with an

admissions counselor prior to making an application. (Trans er students can-

not be accommodated in the 6 year physician assistant program.)

• An o fcial score report or either the SAT I, Reasoning Test or the ACT (Op-

tional or trans er students who have completed one year o college work).

Request that your SAT scores be reported to Quinnipiac (Quinnipiac University

SAT code is 3712) or or the ACT, the Quinnipiac University ACT code is 0582.

• Freshmen applicants must provide a minimum o one letter o recommen-

dation rom a guidance counselor or a teacher. A orm is included which

may be duplicated. We recommend that trans er applicants provide one

letter o recommendation rom a teacher or employer.

• I fling a paper application, the application ee o $45. Please do not send

cash. Make check or money order payable to Quinnipiac University.

Degree Programs (list of majors)Below is a list o degree programs at Quinnipiac. Please write the name o the

program to which you are applying in section 3 o the “Admission In ormation”

section o your application. You should indicate an alternate program you wishto be considered or i we are unable to o er you placement in your program o

choice. You may indicate that you are undeclared in your choice o major.

College of Liberal ArtsBa e ’ De ee P a

Computer Science

Criminal Justice

English

Gerontology

History

Independent Major

Interactive Digital Design

Legal Studies (paralegal)

Mathematics (Actuarial Studies emphasis available)

Political Science

Psychobiology

Psychology (with emphasis in Child Development,

Human Services or Industrial Psychology)

Social Services

Sociology

Spanish

Theater

Division of EducationEducation students should select a liberal arts or natural science major and in

cate their interest in the 5-year Master o Arts in Teaching or elementary

or secondary grades in section 3.

School of BusinessBa e ’ De ee P a

Accounting

Advertising

Biomedical MarketingIn ormation Systems Management

In ormation Systems Management/Accounting

Economics

Entrepreneurship

Finance

International Business

Management

Marketing

School of CommunicationsBa e ’ De ee P a

Communications (please indicate production or media

studies as your area o concentration)

Production

Media Studies

Journalism

Public Relations

School of Health SciencesBa e ’ De ee P a

Athletic Training/Sports Medicine

Biochemistry

Biology

Biomedical Science

Chemistry

Diagnostic Imaging

Health/Science Studies

Microbiology/Molecular Biology

Nursing

Occupational Therapy1

Physical Therapy2

Physician Assistant3

Veterinary Technology

1 The program is a 5 1/2-year Master o Occupational

Therapy degree.

2 The program is a 6 1/2 year Doctor o Physical Therapy degree.

3 Freshmen entry only, no trans er option. The program is a 6-year

Master o Health Science degree or Physician Assistant.

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( f e e )Date ______________________________

c Reg c Cond. Initial ________________________________

Decision Program _________________________________________________________________________________

________________________________________________

Dorm deposit ___________________________________

Matriculation deposit ____________________________________________________

Application Fee $45 ______________________________________________

Online Applicat ion __________________________________________________________________________________________________________________________________________________

Q uinnipiacu niversity

275 Mount Carmel Avenue

Hamden, CT 06518

P e203-582-8600 or

800-462-1944

Fa

203-582-8906

E- [email protected]

Web e

www.quinnipiac.edu

APPlicAtion For ADmission: EntrAncE PlAnnED For:c Fall semester (begins in August), YEAR _________________ c Spring semester (begins in January) , YEAR ________________c Freshman or c Trans er c Full Time Studentor c Part Time (day)or c Part Time (evening)

Social Security number: ___________ — _________ — ____________ c Male c Female(required o US citizens)

PErsonAl DAtA

Legal name___________________________________________________________________________________________________________________(last) (frst) (middle initial)

Former last name(s), i any _______________________________________________________________________________________________________

Home address ( or all admission correspondence) ____________________________________________________________________________________(number and street) (apartment number)

_____________________________________________________________________________________________________________________________(city/town) (state) (zip code, or postal code) (country)

Telephone ___________________________________________ E-mail__________________________________________________________________

Date o birth_________________________________________ Country o citizenship ______________________________________________________

I you were not born in the U.S., how long have you lived in the United States?________________ years.

I living in the U.S.A. but not a U.S. citizen: Type o visa ___________________

Visa number _________________________________________ Permanent resident identifcat ion number _____________________________________

ADmission inFormAtion (sEE “DEgrEE ProgrAms” on PAgE 5.)

Major to which you are applying___________________________________________________________________________ ___________________( or o fce use only

Second choice major____________________________________________________________________________________________________________

I undeclared, are you: c Undeclared Liberal Arts c Undeclared Business

c Undeclared Communications c Undeclared Health Sciences

I considering the ollowing, check where appropriate: c combined BS/Master o Business Administration 5-year BA/Master o Arts in Teaching program (indicate on

c Baccalaureate/J.D. program with the School o Law c Elementary c Secondary

I interested in pre-med or pre-law programs, please check: c Pre-med c Pre-law

Do you wish to be considered or campus housing? c Yes c No

Will you fle the FAFSA to be considered or Financial Aidc Yes c No

Have you visited the Quinnipiac campus?(check all that apply):

c Open House c Admissions Interview c I n ormation Session c Campus Tour c Other_________________________

EDucAtionAl DAtA

High school rom which you have graduated or will graduate____________________________________________________________________________

High school CEEB code number_________________________

High school address ____________________________________________________________________________________________________________(city/town) (state) (zip)

Date o high school graduation _____________________________________________High school telephone number _____________________________(month) (year)

Name o your high school counselor _______________________________________________________________________________________________

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List all other secondary schools and postgraduate schools you have attended:Name o secondary school/postgraduate school Dates attended

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

List all courses you are taking in your senior year o high school:

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________ While in high school, list any colleges at which you have taken courses or credit. Please indicate course names. Please have a transcript rom eachtion sent to the O fce o Undergraduate Admissions at Quinnipiac as soon as possible.Name o college Location (city, state, zip) Dates attended Course name(s)

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

trAnsFEr stuDEnts

List all colleges at which you have enrolled, even i no courses were completed. List the most recent frst, then the next most recent, etc. Please havetranscript rom each institution sent to the O fce o Undergraduate Admissions at Quinnipiac as soon as possible.Name o college City, State Dates attended Completed Credits GPA Credits in Progress

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

c Please check i you have received or will receive (prior to enrollment) a(n):

c Associate degree rom __________________________________________________________________ Date: ______________

c Bachelor degree rom ___________________________________________________________________ Date: ______________

BriEF stAtEmEntQuinnipiac University is dedicated to creating an environment that appeals to students o di erent backgrounds. How would you contribute type o college culture?

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

stuDEnts With DisABilitiEsColleges are not permitted to solicit this in ormation prior to acceptance. Our section 504 and ADA coordinator is John Jarvis. We encourage all stuwho wish to sel -disclose a disability a ter they have been accepted and/or decide to attend Quinnipiac to contact Mr. Jarvis.

P ea e e:Certain majors, particularly in the School o Health Sciences, lead to pro essions that have required technical standards. I you have qregarding your disability as it relates to your choice o major, please contact Mr. Jarvis in the Learning Center, 203-582-5390.

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oPtionAl inFormAtion

Place o birth __________________________________________________________________________________________________________________(city/town) (state)

Your military service, i any _______________________________________________________________________________________________________(branch) (dates)

How would you describe yoursel ?(Check one)

c American Indian or Alaskan Native_________________________(Tribal a fliation) c Asian American c Pacifc Islander

c Black/non-Hispanic c Hispanic c White/non-Hispanic c Multi-racial____________________________

c Other______________________________

notE: Please complete this section i you wish to be considered or any benefts that may be available to members o a racial group

under-represented in higher education.

Work ExPEriEncEPlease list any job (including summer employment) you have held during the past three years.Specifc nature o work Employer Approximate dates o employment Approximate number o hours per w

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

tEst inFormAtionQuinnipiac requires the SAT I (critical reading and mathematics) or the ACT to be considered or reshman admission, and scholarship purpose

complete this section so that the admissions committee is aware o your planned test dates and scores. Please be sure all scores are sent to the unive

I have taken and/or plan to take the SAT I I have taken and/or plan to take the ACT

Month/Year: Critical Reading: Math: Month/Year: Composite Score:

Month/Year: Critical Reading: Math: Month/Year: Composite Score :

Month/Year: Critical Reading: Math: Month/Year: Composite Score:

Your frst language, i other than English ____________________________________________________________________________________________

Have you taken or do you plan to take the TOEFL (Test o English as a Foreign Language) exam?c Yes c No

I Yes, please be sure scores are sent to the university. Date _________________________ Score _______________________________________

PErsonAl stAtEmEnt (EssAy), minimum oF 250 WorDsPlease attach a maximum one page essay on a topic of your choice. You may wish to share a characteristic you possess that you consider a strength,

or you may want to tell us about your interest in Quinnipiac and/or your future career plans. TRANSFER students should use their statement to high-

light their reasons for wanting to transfer to Quinnipiac from their previous institution. INTERNATIONAL students should tell us about their previous

educational and life experience and why they are interested in Quinnipiac.

I you are NOT currently attending school, check here:c

Describe in detail, on a separate sheet, your activities since you were last enrolled in school.

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FAmily inFormAtionI you do not live with both parents, with whom do you make your permanent home?

_____________________________________________________________________________________________________________________________(name) (relationship to you)

Father Mother

Full name: ________________________________________ _______________________________________

Home address: ________________________________________ _______________________________________(i di erent rom yours) ________________________________________ _______________________________________

Occupation: ________________________________________ _______________________________________

Firm/company: ________________________________________ _______________________________________

Colleges attended, i any: ________________________________________ _______________________________________

Degrees earned: ________________________________________ _______________________________________

Please provide one parent’s

e-mail address: ________________________________________ _______________________________________

Check here i parents are: c separated or c divorced

(Full names) Stepmother _____________________________________________ Step ather _________________________________________________

Please list names and ages o your brothers and sisters. Also list the schools/colleges they are attending or have attended, the diplomas/degrees they

earned, and the approximate dates they attended these institutions.

Name Age School/College Diploma/Degree Dates

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

List the names o any relatives not included above who have attended Quinnipiac.

_____________________________________________________________ ____________________________________________________________(name) (relationship ) (name) (relationship)

List the names o any relatives employed by Quinnipiac University.

_____________________________________________________________ ____________________________________________________________(name) (relationship ) (name) (relationship)

List the names o any Quinnipiac Alumni with whom you are acquainted.

_____________________________________________________________ ____________________________________________________________(name) (relationship ) (name) (relationship)

I Quinnipiac was recommended to you, please give the name o the recommender and his or her relationship to you (e.g. teacher, employer, riend

_____________________________________________________________ ____________________________________________________________(name) (relationship ) (name) (relationship)

Have you ever been suspended or missed signifcant time rom school?c yes c no I yes, please explain (use additional page i necessary):

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I hereby agree that all application in ormation is complete and truth ul. I urther agree to support the administration in upholding the rules and regu

o the University and in maintaining high standards in all phases o college li e.

_____________________________________________________________________________________________________________________________Applicant’s signature Date

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CounselorRecommendation

Q uinnipiacu niversity

275 Mount Carmel Avenue

Hamden, CT 06518

(rEQuirED ForFrEshmEn APPlicAnts)Is secondary transcript attached?

c Yes c No

APPlicAnt inFormAtion

Legal name ___________________________________________________________________________________________________________________(last) (frst) (middle initial)

Address ____________________________________________________________________________________________________________(city/town) (state) (zip code, or postal code)

High School Name ____________________________________________________________________________________________________(city/town) (state) (zip code, or postal code)

Privacy Notice: Under the terms o the Family Education Rights and Privacy Act (FERPA) the student will have access to this recommendation i they are admitted

and matriculate at Quinnipiac University.

sEconDAry counsElor rEcommEnDAtion

Counselor name _______________________________________________________________________________________________________________(phone number) (e-mail)

How would you describe the student’s academic program?c most challenging c very challenging c average c less than challenging

Indicate (please estimate i a specifc rank can’t be provided) student’s class rank: Student rank:_____________ Class size: _____________c top 1-2% c top 5% c top 10% c top 15% c top 20% c top 25% c top 50% c bottom 50%

Cumulative GPA: Highest GPA in class: Is GPA: Weighted

(circle one)

Unweighted

Do you recommend this applicant:c with great enthusiasm c without reservation c strongly c with some reservation

How long have you known the applicant and in what capacity? _________________________________________________________________________

What would you like us to know about the applicant? (you can attach a letter o recommendation i you wish)

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

Signature ________________________________________________________________________________________ Date __________________________

P ea e e d : e o f e u de ad a e Ad , Q p a u ve , 275 m . ca e Ave e, ha a 203-582-8906

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TeacherRecommendation

Q uinnipiacu niversity

275 Mount Carmel Avenue

Hamden, CT 06518(oPtionAl)

APPLICANT INFORMATION (P ea e f a a d ve ea e . t e d e d d e

Legal name ___________________________________________________________________________________________________________________(last) (rst) (middle initial)

Address ______________________________________________________________________________________________________________________(city/town) (state) (zip code, or postal code)

High School Name ______________________________________________________________________________________________________________(city/town) (state) (zip code, or postal code)

Privacy Notice: Under the terms o the Family Education Rights and Privacy Act (FERPA) the student will have access to this recommendation i they are admitte

and matriculate at Quinnipiac University.

TEACHER RECOMMENDATION

Teacher name _________________________________________________________________________________________________________________(rst, last) (subject taught)

How well do you know this applicant and in what context?

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

What words come to mind to describe this applicant?

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

What do you eel is the student’s greatest strength?

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

In what way could the student improve?

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

Please write whatever you eel is important about this student, including a description o academic and personal characteristics as you’ve wit

You may choose to attach a separate letter o recommendation you may have prepared or this student._____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

Signature________________________________________________________________________________________ Date __________________________

Please send to: the Ofce of Undergraduate Admissions, Quinnipiac University, 275 Mt. Carmel Avenue, Hamden, CT 06518 or fax to 203-582-8906