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CHEYNEY UNIVERSITY INTERNATIONAL STUDENTS ADMISSIONS APPLICATION

To submit an application to our school, please complete the following form and select Submit Application.

= Required

APPLY NOW FOR FALL '19 or SPRING '20

NOTE: If you have an issue submitting your application, please send an email to helpdesk@cheyney.edu.

Personal Information

NOTE:The Federal Privacy Act of 1974 requires that you be notified that disclosure of your Social Security Number is voluntary and is not required to determine admission. Your Social Security Number will be used to match your application with your SAT/ACT Test Scores and/or Financial Aid information so failure to provide it may affect your eligibility for financial aid and may delay decision of admission. Your social security number is also used to report your educational expenses to the Internal Revenue Service to verify any education-related deductions you may claim on your federal income taxes.

Social Security Number
Prefix
First Name
Middle Name
Last Name Prefix
Last Name
Suffix
Date of Birth
Are you a First Generation College Student?

Address Information

Please enter your permanent home address first.

Addresses

Add Another Address

Address Type
Address Line 1
City
State/Province
Postal Code
County (If you are a PA resident).
Country

Are you a Pennsylvania resident?
How long have you lived in Pennsylvania?

Contact Information

Please enter your preferred contact information first.

E-mail Address
Confirm your email address.

Phone Numbers (Exclude Country Code)

Phone Type	Country	Phone Number	Primary

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Demographic Information

Gender
Marital Status
Veteran Status
Are you currently serving on active duty in the military?
Are you a veteran of the U.S. Armed Forces?
Are you retired from the military?

Ethnicity and Race Information

Are you of Hispanic/Latino ethnicity or descent? Yes No

Select one or more races with which you identify yourself:
American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Citizenship Information

Please provide your current citizenship status.

Are you a U.S. Citizen?
Are you a U.S. Permanent Resident?
If yes, date issued. (mm/dd/yyyy)
Date residency expires. (mm/dd/yyyy)
Are you a Non-Resident Alien?
SEVIS ID Number
Primary Citizenship
Secondary Citizenship
Visa
Country of Birth
Primary Language
Secondary Language
Months in Country

Government Information

Visa Number
Visa Country Issued
Visa Expiration Date
Passport Number
Passport Country Issued
Passport Expiration Date

Enrollment Information

Year and Term you are enrolling for:

Programs

Program	Enrollment Status

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How Are You Enrolling?

Campus

All Graduate degrees are offered at the Cheyney University/Philadelpia Center City Campus only.

Select the campus of your choice:

Residency Preference

Commute Preference

Emergency Contacts

Please list at least one person to contact in case of an emergency on your behalf.

Contacts

Add Another Contact
1. Prefix
2. First Name
3. Middle Name
4. Last Name
5. Suffix
6. Relationship
7. Phone Number

Education History

NOTE: Please note, any institution that you provide, an official copy of your transcript will need to be provided that comes directly from that institution in a sealed envelope. Failure to do so, will delay in your acceptance to Cheyney University.

Degrees

Add Another Degree
1. Degree
2. Curriculum
3. Honors
4. Start Date
5. End Date
6. Institution Name
7. ETS Code Search
8. City
9. State
10. Country
11. CEEB Code
Institution Name

ETS Code

City

State

Country

Activities

Activities

Add Another Activity
1. Activity Type
2. Activity
3. Position Held
4. Number of Hours Per Week
5. Number of Weeks Per Year
6. Number of Years
7. Participated in Grade 9?
8. Participated in Grade 10?
9. Participated in Grade 11?
10. Participated in Grade 12?
11. Participated Post Secondary?

Relatives

Please list any relatives that are alumni of Cheyney University.

Relatives

Add Another Relative
1. Prefix
2. First Name
3. Last Name
4. Suffix
5. Relationship
6. Attended Institution

Felony Conviction

NOTE: A conviction is an adjudication of guilt and includes pleas of nolo contender (no contest). Please disregard: minor traffic violations, offenses committed before your 18th birthday which were adjudicated in juvenile court under a Youth Offender Law, and any charges which have been expunged by a court or for which you successfully completed an Accelerated Rehabilitative Disposition Program. If yes, please state the felony offense, the date of conviction and provide relevant information concerning the felony conviction.

NOTE: A “yes” answer will be reported to the Pennsylvania Higher Education Assistance Agency (PHEAA) if the applicant receives PHEAA aid. A “yes” answer will not necessarily bar admission to the University, but it may limit the ability to enroll in or complete certain academic majors/programs and may affect approval to live in university-owned or university-affiliated housing.

NOTE: If you marked yes that you received a felony, after you select the Submit Application button, you will be required to attach a summary (either in Word or PDF), stating the extent of the crime and the dispostion of it. Failure to do so will result in a delay in your application being moved further in the application process.

Have you ever been convicted of a felony offense?

Disciplinary Actions

NOTE: A YES answer may not necessarily bar admission to the University, but it may affect approval to live in university owned or university affiliated housing. If you answer YES, please attach a statement to the application which states the name of the institution of higher education, the reason for the dismissal or suspension, the date the dismissal or suspension occurred and provide relevant information concerning the dismissal or suspension.

NOTE:Prior to admission, transfer applicants may be requird to complete a release of information that allows the intended State System University to obtain disciplinary records from any previously attended institution of higher education. Failure to execute a release of information by the applicant may result in the denial of admission.

Have you ever been dismissed or suspended from an institution of higher education for disciplinary reasons?

Source

How Did You Hear About Us?
Other Source

School Policy

By submitting this application I am certifying that the information provided on this application is true to the best of my ability. I understand that my omission or misrepresentation of facts or failure to furnish information to the Office of Admissions may invalidate consideration of this application and/or acceptance to the University. Application Policy

Policy I do not accept I accept