Apply form

All fields required unless specified with a ‘*’

1. Name and Address

Last (family) Name:

First (given) Name:

Middle Name: *

Other names that may appear on your credentials: *

Permanent Address:


Street or Box Number:


City:


Province or State:


Postal code (Leave blank if none):


Country:


E-mail address


Current Mailing Address (if different from above, optional):

Number and Street or Box Number


City


Province or State


Postal Code


Country


This address is valid until

Month:

Year:



Telephone Number

Area Code:

Number:


Fax Number (optional)

Area Code:

Number:


2. Personal Data

Gender:

Male

Female

Date of Birth:

Month:

Day:

Year:



Are you Hispanic/Latino?

Yes

No

How would you describe yourself?

American Indian / Alaska Native

Asian

Black / African American

Native Hawaiian / Other Pacific Island

White

City and Country of Birth

City

Country


Country of Citizenship


Native Language


If you have a U.S. Social Security number, enter it:




3. Enrollment Objectives

Have you previously submitted an application to FSU

Yes

No

Did you enroll?

Yes

No

Are you currently enrolled?

Yes

No

For which term, in which year, do you seek admission?

20

This application is for enrollment as:

Undergraduate Student:

First-Time-In-College Freshman

Undergraduate Transfer

Second Bachelor’s Degree

Graduate Student:

Master’s

Proposed Academic Program (Consult www.academic-guide.fsu.edu for a full list of Academic Programs offered by Florida State University)

Academic Program:


4.Educational Background

List in chronological order all secondary and postsecondary schools, colleges, universities, or other institutions you have attended or are currently attending. Please do not abbreviate. Official academic records, in the native language and English, must be submitted from each institution attended. To speed up the processing of your application, you can upload scans of these records, however, you must submit original physical copies, either through courier or when you come to our campus.
You must include schools even if you did not complete a term. Include FSU if you attended previously. For multi-campus institutions, indicate a specific campus.
Failure to list all institutions could result in your application being denied or your admission being rescinded.

Secondary Schools

Name:

City:

State:

Country:


Date of Attendance:

From:

20

To:

20

Certificates, degrees, and/or diplomas earned/expected.Use exact title, i.e., Diplom, Matrise, etc.

Degree name:

Date issued or to be issued:

20


Upload transcripts (only .PDF files, must not exceed 1MB in size)


Postsecondary schools, colleges, universities, and/or other institutions (optional)

Name:

City:

State:

Country:


Date of Attendance:

From:

20

To:

20

Certificates, degrees, and/or diplomas earned/expected.Use exact title, i.e., Diplom, Matrise, etc.

Degree name:

Date Issued:

20


Upload transcripts (only .PDF files, must not exceed 1MB in size)

2nd School

Name:

City:

State:

Country:


Date of Attendance:

From:

20

To:

20

Certificates, degrees, and/or diplomas earned/expected.Use exact title, i.e., Diplom, Matrise, etc.

Degree name:

Date Issued:

20


Upload transcripts (only .PDF files, must not exceed 1MB in size)

3rd School

Name:

City:

State:

Country:


Date of Attendance:

From:

20

To:

20

Certificates, degrees, and/or diplomas earned/expected.Use exact title, i.e., Diplom, Matrise, etc.

Degree name:

Date Issued:

20


Upload transcripts (only .PDF files, must not exceed 1MB in size)

4th School

Name:

City:

State:

Country:


Date of Attendance:

From:

20

To:

20

Certificates, degrees, and/or diplomas earned/expected.Use exact title, i.e., Diplom, Matrise, etc.

Degree name:

Date Issued:

20


Upload transcripts (only .PDF files, must not exceed 1MB in size)


5. Employment/Activity Information

If there has been a period of time, other than summer vacations, when you were not enrolled in school, please explain what you were doing (i.e., work, military, travel). Use a separate sheet, if necessary. If you are not currently enrolled in school, include your present activities. (optional)

Employment / Activity


From:

Year (YY):

To:

Year (YY):

Employment / Activity


From:

Year (YY):

To:

Year (YY):

Employment / Activity


From:

Year (YY):

To:

Year (YY):

Employment / Activity


From:

Year (YY):

To:

Year (YY):

6. Standardized Test Information

Please list all dates on which you took, or are planning to take, the following tests. Include score results, if known, and attach copies if available.
Official scores must be sent directly to Florida State University by the testing agency.

If English is not your native language, and you have not studied full-time in an English-speaking country for at least one academic year, a
TOEFL score is required.

TOEFL:

Date:

L

S

V

TWE

Total


IB TOEFL:

Date:

L

R

S

W

Total

SAT:

Date:

CR

MA

Total (CR + MA)

WR

ES

ACT:

Date:

EN

MA

RE

SR

Comp

E/W

WR

7.Antecedents and Final Agreement

Failure to answer these questions will result in a delay in processing your application

Are you currently, or have you ever been, charged with or subject to disciplinary action for scholastic or any other
type of behavioral misconduct at any educational institution? You do not need to disclose academic dismissal,
suspension, or probation for poor grades. However, you will be required to furnish FSU with a written explanation of
the event(s) if there was academic misconduct (such as plagiarism or cheating) or behavioral misconduct, and tell us
what you have learned from your past action(s).

Yes

No

Tell us what you have learned from your past action(s):

Have you ever been charged with a violation of the law which resulted in, or if still pending could result in,
probation, community service, a jail sentence, or the revocation or suspension of your driver’s license (including
traffic violations which resulted in a fine of $200 or more)? You will be required to furnish FSU with a list of all
violations, and include a statement telling us what you have learned from your past action(s).

Yes

No

Tell us what you have learned from your past action(s):

Have you ever been charged with a felony (even if adjudication was withheld)? You will be required to furnish
FSU with a copy of your criminal background history from each state in which the violation(s) occurred. If the
violation(s) occurred in Florida, the criminal background history can be emailed to the Office of Admissions at
admsofficer@admin.fsu.edu from the Florida Department of Law Enforcement (www.fdle.state.fl.us). You will
also be required to furnish a statement telling us what you have learned from your past action(s).

Yes

No

Tell us what you have learned from your past action(s):

If your answer to any of the above questions is “yes,” the University reserves the right to request additional information. If your records
have been expunged pursuant to applicable law, you are not required to answer yes to these questions. If you are unsure whether
you should answer yes, we strongly suggest you answer yes and fully disclose all incidents. By doing so, you can avoid any risk of
disciplinary action or revocation of an offer of admission.

Important: You must read and accept the following section in order to complete your application to FSU.

I understand that this application is for admission to Florida State University and is valid only for the term indicated on the application.
I also understand and agree that I will be bound by the University’s regulations concerning application deadline dates and admission
requirements. I further agree to the release of all transcripts and test scores to this institution, including test score reports that this institution may request.
I certify that the information given in this application is complete and accurate and I understand that to make false or fraudulent statements within this application or Certification of Financial Responsibility Form may result in disciplinary action, denial of admission, and
invalidation of credits or degrees earned. If admitted, I agree to abide by the policies of the Florida Board of Education and the rules and regulations of Florida State University. Should any of the information I have given change prior to my enrollment at the University, I shall immediately notify the Office of Admissions.
I understand that the one hundred dollar ($100.00) payment that must accompany this application is a nonrefundable fee, and that this application and all supporting materials become the property of
Florida State University. No items will be returned to the applicant or forwarded to other institutions or third
parties.

I agree to the terms described above

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