Application for Undergraduate Admission

Application for
Undergraduate Admission
Before you begin
Incoming graduate or international students should visit
http://admissions.nmsu.edu/apply/ for application procedures.
ENROLLMENT INFORMATION
Semester when you plan to start
c Fall
Campus where you plan to enroll
c Alamogordo
Enrollment status
c First enrollment in any college or university even if you took college courses in high school
c Spring
c Summer
c Carlsbad
Year __________
c Doña Ana (Includes all satellites)
c Grants
c Las Cruces-Main
c Transferring to NMSU from another college or university in New Mexico
c Transferring to NMSU from another college or university outside New Mexico
c Returning after absence from NMSU or one of the NMSU community colleges
c New Mexico high school student applying to take dual credit courses at any NMSU campus
Enrollment action
Applies only to currently enrolled
NMSU students.
Degree expected
Certificate and program applicants
should see list on supplement.
Field of study
c Change to Non-degree
c Change to Degree-seeking
c
c
c
c
c
Certificate or program ___________________________________________
Two-year associate degree
Four-year bachelor’s degree
Second undergraduate degree
Non-degree (Review the policies on page 4 before selecting this option.)
Major ___________________________________________
PERSONAL INFORMATION
Social security number
c c c - c c - c c c c
Office use only
NMSU ID
c c c c - c c c c c
Legal name
LAST NAME
Previous or other legal
names
FIRST NAME
MIDDLE NAME
NAME
Preferred first name
FIRST NAME
Address
MAILING ADDRESS STREET AND NO. OR PO BOX NO.
CITY
APARTMENT, ROOM OR SPACE NO.
STATE
ZIP CODE
COUNTRY
PHYSICAL ADDRESS (REQUIRED IF DIFFERENT FROM MAILING ADDRESS)
Phone and Email
PHONE
Date of birth
EMAIL
(MM-DD-YYYY)
c c - c c - c c c c
Gender
c Male
Family history
Did either of your parents or guardians graduate from a 4-year college or university?
U.S. Military service
Are you U.S. active-duty military? c Yes c No
Are you a member of the U.S. National Guard or Reserve? c Yes c No
Are you a spouse or dependent of an active-duty member of the U.S. military?
Are you a U.S. veteran? c Yes c No
c Female
c Choose not to disclose
c Yes
c Yes
c No
c No
c Do not know
Citizenship
Permanent Residents must submit a
copy of their I-551 card. Passport and
visa will be requested as needed.
Students who request an I-20 will be
required to meet the International
Applicant requirements. Students who
falsify their citizenship may have their
admission revoked.
Ethnicity/Race (Optional)
This information is requested by
government agencies to demonstrate
compliance with the Civil Rights Act.
c
c
c
c
US Citizen
Permanent Resident (Submit copy of I-551 to Admissions.)
Foreign (Passport and visa will be requested as needed.)
Other Immigrant Status – Non-U.S. Citizen
What is your ethnicity?
c Hispanic or Latino
c Not Hispanic or Latino
Select one or more races to indicate what you consider yourself to be.
c American Indian or Alaskan Native (Select tribe or pueblo from list below)
c Asian
c Black or African American
c Native Hawaiian or Other Pacific Islander
c White
Select your tribe or pueblo if you
answered American Indian or Alaskan
Native above.
c
c
c
c
c
c
c
c
c
Residency
If you are less than 23 years old, were you reported as a dependent on your parent or legal guardian’s federal
income tax return for last year? c Yes c No If yes, in what state were taxes filed? ______________________
Residents of New Mexico for more
than one year and residents of some
other states may qualify for in-state
tuition.
For more information, visit
http://registrar.nmsu.edu/residency
Acoma Pueblo
Cochiti Pueblo
Hopi Tribe
Isleta Pueblo
Jemez Pueblo
Jicarilla Apache Nation
Laguna Pueblo
Mescalero Apache Tribe
Nambe Pueblo
c
c
c
c
c
c
c
c
c
Navajo Nation
Ohkay Owingeh Pueblo
Picuris Pueblo
Pojoaque Pueblo
Sandia Pueblo
San Felipe Pueblo
San Ildefonso Pueblo
Santa Ana Pueblo
Santa Clara Pueblo
c
c
c
c
c
c
c
c
c
Santo Domingo Pueblo
Southern Ute Indian Tribe
Taos Pueblo
Tesuque Pueblo
Ute Mountain Ute Tribe
Ysleta Del Sur Pueblo
Zia Pueblo
Zuni Pueblo
Other Native American Tribe
What is your state of legal residence? _____________________________________
If New Mexico is your state of legal residence, what COUNTY (e.g. Doña Ana, Bernalillo, etc.) do you live in?
_______________________________________________________
If a New Mexico resident, as of the date of this application how long have you been living continuously in NM?
Years __________ Months __________ Days __________
SECONDARY CONTACT INFORMATION: CONTACT 1
Name
LAST NAME
c Mother
FIRST NAME
c Father
c Legal Guardian
c Spouse
c Significant Other
MIDDLE NAME
c Relative
c Check if this person is your Emergency Contact.
c Check if this person is a graduate of NMSU.
Address
STREET AND NO. OR PO BOX NO.
CITY
APARTMENT, ROOM OR SPACE NO.
STATE
ZIP CODE
Phone and Email
PHONE
2
20160108
EMAIL
COUNTRY
SECONDARY CONTACT INFORMATION: CONTACT 2
Name
LAST NAME
c Mother
FIRST NAME
c Father
c Legal Guardian
c Spouse
MIDDLE NAME
c Significant Other
c Relative
c Check if this person is your Emergency Contact.
c Check if this person is a graduate of NMSU.
Address
STREET AND NO. OR PO BOX NO.
CITY
APARTMENT, ROOM OR SPACE NO.
STATE
ZIP CODE
COUNTRY
Phone and Email
PHONE
EMAIL
ACADEMIC INFORMATION
High school last attended
NAME
High school graduation or GED
completion
CITY
STATE
High school graduation date?
MONTH
YEAR
If you are not a high school graduate, give the location of the GED testing center and the date the test was taken.
LOCATION
Previous colleges or universities
attended
Have you attended any educational institutions other than NMSU?
c Yes
c No
If more than five, attach a sheet with
additional information.
NAME OF PREVIOUS INSTITUTION
(MOST RECENT FIRST)
Academic regulations require that
students who have registered at other
colleges or universities may not
disregard their records at such
institutions when making application
for admission to this university.
Students concealing attendance at
another college or university and not
submitting a transcript from that
college or university will be subject to
suspension.
Students must be eligible to return to
their last institution in order to be
admitted to NMSU.
COMPLETION DATE
FROM
TO
LOCATION
OFFICE USE
ONLY
Are you eligible to return to the last college or university you attended? If you are not certain, check with your
previous institution.
c Yes
c No
Have you been awarded a college or university degree?
c Yes
c No
If Yes, give the degree, year and granting institution.
DEGREE
YEAR
GRANTING INSTITUTION
DEGREE
YEAR
GRANTING INSTITUTION
DEGREE
YEAR
GRANTING INSTITUTION
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TESTING DATA
ACT or SAT scores (For NMSU-Las
Cruces applicants only)
c I have not taken the ACT or SAT.
Test scores are required for all
freshmen and for transfer students
who have fewer than 30 academic
credits from a previous institution.
c I plan to take the
c ACT _____________________________
MONTH
c I have taken the
YEAR
MONTH
c ACT _____________________________
MONTH
YEAR
c SAT _____________________________
YEAR
c SAT _____________________________
MONTH
YEAR
Other programs may also require ACT
scores.
APPLICATION CHECKLIST
To complete an application to NMSU, please:
c Complete the application form in full and submit it to the appropriate NMSU campus (see addresses below). Incomplete applications will not be processed.
c Ensure that all required copies of documents are mailed directly to the appropriate NMSU campus (see addresses below).
c Submit the nonrefundable application fee by check or money order and include student name and date of birth. Credit card payments are accepted
through our credit card payment system located at https://shopcart.nmsu.edu/shop/ugaaf. U.S. Citizens and Permanent Residents application fee is $20.
Foreign and other Immigrant status (non-US Citizen) application fee is $50.
OTHER (Optional)
How did you hear about NMSU?
c Campus visit
c High school visit
c Online advertisement
c Print advertisement
c Recommendation from high school counselor
c Recommendation from parent or other relative
SIGNATURE
I understand that withholding information in this application, failure to submit all documents, or giving false information may make me ineligible for admission
to, or continuation at, New Mexico State University. I certify that all of the preceding statements are correct and complete.
APPLICANT’S SIGNATURE (APPLICATION MUST BE SIGNED)
DATE OF APPLICATION
NMSU Alamogordo
Office of Admissions and Records
2400 North Scenic Drive
Alamogordo, NM 88310
NMSU Carlsbad
Office of Student Services
1500 University Drive
Carlsbad, NM 88220
NMSU Doña Ana (Includes all satellites)
Admissions Office
MSC 3DA, Box 30001
Las Cruces, NM 88003-8001
575 439-3700
http://www.nmsua.edu 888 888-2199 or 575 234-9221
http://carlsbad.nmsu.edu
800 903-7503 or 575 527-7710
http://dacc.nmsu.edu
NMSU Grants
Admissions and Records
1500 N. Third Street
Grants, NM 87020
NMSU Las Cruces
University Admissions
MSC 3A, Box 30001
Las Cruces, NM 88003
505 287-6678
http://grants.nmsu.edu
800 662-6678 or 575 646-3121
http://admissions.nmsu.edu
Non-degree status policies
Non-degree admission is designed to meet the needs of students who do not wish to pursue a degree. Students considering non-degree status should be
aware of the following:
• Non-degree students may not transfer more than 30 credits from this status to any undergraduate degree-seeking program, or more than nine credits to
a graduate degree-seeking program.
• Non-degree students are not eligible to receive financial aid, student employment or graduate assistantships.
• Non-degree students are not eligible to participate in student government or intercollegiate athletics.
• Non-degree students may not be eligible for Veterans benefits. Consult with your VA certifying official.
• Transcripts from previous institutions, high school, and/or results of college entrance exams may be required.
• Students interested in using non-degree credit for initial teacher certification or recertification in a new field will be admitted to the College of Education.
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