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International Graduate Application
Before you complete this application, please, read the instructions and information packet associated with this form. There are still materials that will have to be sent via regular mail, which can be printed from the instructions. You must also inlcude the signature sheet, before your application can be considered. Make sure all information is accurate and up to date before you submit this form.

What semester and year do you plan to begin? Spring Summer Fall
Name Last First Middle Jr. III, etc
Other first or last name used on transcripts or records
SSN (###-##-####) Sex Male Female Birthday (##/##/19##)
Country of Citizenship
Permanent Home Address
City State Zip Code Country (if not USA)
Mailing Address
City State Zip Code Country (if not USA)
Fax Number E-mail Address
Have you ever attended, registered and/or paid fees at UNO? Yes No
If no, have you filed an application (other than this) in the past twelve months? Yes No
If yes, when?
List ALL colleges or universities attended or currently attending, INCLUDING UNO. (Email additional information if necessary to chemsele@uno.edu ) You are required to have complete official transcripts mailed to this office directly from all schools attended.
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 Name of School City and State Grad. Date Degree Earned Attended From Attended To
-
-
-
Month. Year
-
Month. Year
Month. Year
(College)
(College)
(College)
(College)
Are you currently enrolled in college/university? Yes No
If yes, when will you complete this enrollment?
If yes, how many semester hours are you currenlty taking?
Indicate your proposed program of study (see Page 9 for a complete list of available programs): Note: Failure to answer this question will delay the processing of your application
Program Reserach Area Degree
If you have taken, or plan to take, any of the following exams, please state the date ans scores, if available:
Exam
Date (Mo./Year)
Score
TOEFL
Section1
Section2
Section3
Total Score
Graduate Record Exam (GRE)
Verbal
Quantative
Analytical
Please, request that your scores be sent directly to our office. Failure to take the first available test may result in delay or denial of admission.
Have you ever been suspended from any college or university for scholastic or disciplinary reasons? Yes No
If yes, give name of institution, date, and reason for this action:
How did you first learn about UNO?