International Student
W I S C O N S I N ,
Application for Admission
U.S.A.
We welcome your application for admission to St. Norbert College.
Please select the option below that best describes the program to which you are applying.
o
Degree Seeking Student
o
If you are applying for direct admission to
the St. Norbert College undergraduate degree
program, please complete sections A, B and C.
Conditional Admission Student
If you do not have TOEFL or IELTS scores that
meet our undergraduate degree requirements,
you may apply for conditional admission
through St. Norbert College’s English as a
Second Language Institute by completing
sections A, B and C.
o
ESL Only Student
If you are applying to St. Norbert
College’s English as a Second Language
Institute, you may apply by completing
sections A and C only.
SECTION A
Student Information
PLEASE PRINT
Name as it appears on your passport:_______________________________________________________________________________
Family name (surname)
Gender: o Female
o Male
Given name
Middle name
Country of birth:______________________________
Date of birth: ____________________ _____________ _____________ Country of citizenship:_____________________________
Month
DayYear
Marital status: ________________________________
HOME COUNTRY ADDRESS (NOT A P.O. BOX)
_________________________________________________________
Number and street
________________________________________________
State/Province (if applicable)
________________________________________________
City
_____________________________
Postal code
___________________________
Country
MAILING ADDRESS FOR YOUR I-20 AND ADMISSION DOCUMENTS o Same as home country address
_________________________________________________________
Number and street
________________________________________________
State/Province (if applicable)
________________________________________________
City
_____________________________
Postal code
___________________________
Country
CENTER FOR INTERNATIONAL EDUCATION–ST. NORBERT COLLEGE–DE PERE WISCONSIN USA 54115
WWW.SNC.EDU
[email protected]
TEL: 920-403- 3469
SKYPE: international.snc
OTHER CONTACT INFORMATION
Email address: ________________________________________________________________________________________________
Telephone number:__________________________________
(Country code)
I am applying as a (choose one):
o ESL student
Have you previously applied to St. Norbert College?
o None
My English ability:
o A little
(Country code)
o First-year student
o Yes o No
o August
ESL and conditional applicants: ESL start date
Cell phone number:________________________________________
o Some
o Transfer student
If yes, when? ______________________________________
o October
o Good
Degree applicants: What year will you begin your studies?______________
o January
o March
o May/June
o Very good
o Fall semester (August)
o Spring semester (January)
TOEFL/IELTS score: _________________________
Do you presently have a U.S. visa?
o Yes o No
If yes, what type? _________________________________________________
Are you presently a permanent resident of the United States (“green card” holder)?
o Yes o No
If yes, please indicate your Alien Registration Number found on your “green card”: __________________________________________
Are you a dual citizen?
o Yes o No
If yes, please list countries: ___________________________________________________
o St. Norbert alumnus/na_____________
How did you learn about St. Norbert College?
o Internet/web
o St. Norbert recruiter
o Agency _________________
o St. Norbert student_____________
o Other ____________________
IMPORTANT: St. Norbert is a residential college.You are guaranteed housing and must live in one of the many college residences.You may apply to move off campus when you are age 23.
Family Information
Father (or guardian)
Name:______________________________________________________________________________________________________
Address:_____________________________________________________________________________________________________
Street
City Country Postal Code
Employer:______________________________________________ Position:______________________________________________
University attended:___________________________________________ Telephone:_______________________________________
Country of citizenship: __________________________________________________________________________________________
Mother (or guardian)
Name:_______________________________________________________________________________________________________
Address:_____________________________________________________________________________________________________
Street
City Country Postal Code
Employer:_____________________________________________ Position:_______________________________________________
University attended:___________________________________________ Telephone:_______________________________________
Country of citizenship:__________________________________________________________________________________________
CENTER FOR INTERNATIONAL EDUCATION–ST. NORBERT COLLEGE–DE PERE WISCONSIN USA 54115
WWW.SNC.EDU
[email protected]
TEL: 920-403- 3469
SKYPE: international.snc
Other
Number of siblings:________________________ Number of siblings attending university (including yourself):___________________
Language(s) spoken at home:_____________________________________________________________________________________
List the name(s) of any relative(s) who have attended or are attending St. Norbert College:
_______________________________________
______________________________________
___________________________
_______________________________________
______________________________________
___________________________
Name
Name
Relationship
Relationship
Dates of attendance
Dates of attendance
If you are applying for ESL only, do not complete section B. Go directly to section C.
SECTION B
Educational Information
1. What is your intended major? ____________________________________________________
2. Please list all educational institutions you have attended, starting with secondary school.
Dates of attendance
Name of diploma
Year of
____________________________________________________________________________________________________________
Name of institution
City/Country
from – to
or certificate
graduation
1.
____________________________________________________________________________________________________________
2.
____________________________________________________________________________________________________________
3.
____________________________________________________________________________________________________________
4.
____________________________________________________________________________________________________________
3. Teacher or college counselor recommendation: Although not required, we encourage you to ask your counselor to send us a letter of
recommendation addressing your academic achievements and potential as a university student.
4. List activities and organizations in which you were involved in secondary school: __________________________________________
____________________________________________________________________________________________________________
5. List special recognition you received for excellence in school or work such as prizes, honors and scholarships: ___________________
____________________________________________________________________________________________________________
6. Writing Sample: NOT REQUIRED FOR CONDITIONAL ADMISSION APPLICANTS
Please provide and attach writing samples of no more than 500 words each on two of the following topics.
Please answer number 1 and then choose one from the other four topics:
1. What would you like to study at St. Norbert? Describe your academic interests.
and
2. Discuss your academic
background and achievements.
or
3. The more students who study
in a country other than their
own, the better the world will
be – discuss.
or
4. Identify a person who had
a significant influence on you
and explain the influence.
or
5. Why is St. Norbert College a
good choice for you?
CENTER FOR INTERNATIONAL EDUCATION–ST. NORBERT COLLEGE–DE PERE WISCONSIN USA 54115
WWW.SNC.EDU
[email protected]
TEL: 920-403- 3469
SKYPE: international.snc
SECTION C
Complete Your Application
I have submitted these documents in support of my application:
ESL APPLICANTS
CONDITIONAL APPLICANTS
DEGREE APPLICANTS
o Completed signed application
o Completed signed application
o Completed signed application
o Copy of passport photo page
o Copy of passport photo page
o Copy of passport photo page
o Financial statement or letter from
bank with English translations
o Financial statement or letter from
bank with English translations
o Financial statement or letter from
bank with English translations
o All secondary and post-secondary
transcripts with English
translations
o All secondary and post-secondary
transcripts with English
translations
o TOEFL or IELTS score
o Writing sample
o SAT or ACT score (optional)
READ CAREFULLY AND SIGN
I certify that the information contained in this application and in all application materials is complete and accurate; that the writing
sample is my own work; and that I have not attended institutions other than those listed. I understand that I am responsible for
forwarding official transcripts from schools I have attended and that such transcripts become the property of St. Norbert College. I
understand that I am required to notify the Center for International Education if any of the information provided on this application
for admission changes after submission, and that providing false information in this application may result in the denial or rescinding of
admission.
____________________________________________________________________________________________________________
Applicant’s signature
Date
Parent/Guardian’s signature (if applicant is under age 18)Date
It is the policy of St. Norbert College not to discriminate on the basis of gender, age, race, religion, color, disability, national or ethnic origin in its admission practices,
educational programs, activities or employment policies as required by federal civil rights laws.The St. Norbert College Section 504 on-campus coordinator is the director of
academic support services: 920-403-1321. St. Norbert College is authorized under federal law to enroll nonimmigrant students.
CENTER FOR INTERNATIONAL EDUCATION–ST. NORBERT COLLEGE–DE PERE WISCONSIN USA 54115
WWW.SNC.EDU
[email protected]
TEL: 920-403- 3469
SKYPE: international.snc