Graduate Online Application | Azusa Pacific University

About Me

* Required Field

My Academic Plans for APU

Status:
Degree-seeking: Master's, Doctoral, Credential, and Certificate programs.
Nondegree-seeking: Students who do not intend to complete a program at APU, yet wish to take course(s) for credit.
Note: Nondegree-seeking students do not qualify for financial aid. Area of Study:
Program:
Beginning Term:
Emphasis:
Location:
Note: International programs are not offered at all locations. Status for Financial Aid:
Note: Financial Aid is not available for international students.
Half-time: 5+ units/term (6+ units/term for teacher education).
Full-time: 9+ units/term (12+ units/term for teacher education).

Name

Prefix:

First:

Middle:

Last:

Suffix:

Alternate Names

Preferred Name

First:

Middle:

Last:

Maiden Name

First:

Middle:

Last:

Other Name

First:

Middle:

Last:

Contact Information

Home Phone:

Cell Phone:

Email Address:

Permanent/Home Country Address

Country:
Address Line 1:
Address Line 2:
City:
State/Province:
Postal Code:
Are you currently living outside the United States?

Mailing Address

Country:
Address Line 1:
Address Line 2:
City:
State/Province:
Postal Code:

Personal Information

U.S. Social Security Number:
Providing your SSN will assist us in identifying duplicate/previous records.

Gender:

Marital Status:

Ethnicity:

Birth Date:

Birth City:

Birth State/Province:

Birth Country:

Citizenship Status:

Citizenship Country:
Do you currently have a U.S. visa?

What kind of visa?
Expiration:

Religion:

Have you ever been convicted of a felony?
If yes, please provide a brief explanation:

Employment Information

Are you currently employed?

Please list your most recent employment information.

From Date:

To Date:

Employer:

Job Title:

Country:
Address Line 1:
Address Line 2:
City:
State/Province:
Postal Code:

Employer Phone:

Additional Information

Have you previously applied for admission to Azusa Pacific University?

If yes, as:

Program:

Date Applied:

Have you previously enrolled at Azusa Pacific University?

If yes, please indicate past enrollment status:

APU ID Number (if known):

From Date:

To Date:

Program/Major:

Degree Earned:
Other Degree:

Date Degree Earned:

How did you hear about APU?
Other:
Do you have any friends or relatives who have attended or are now attending APU?

First name:

Last name:

Relationship:

First name:

Last name:

Relationship:

First name:

Last name:

Relationship:

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