Famu Admission Application Form – Fill Out and Use This PDF

E X C E L L E N C E W I T H C A R I N G

FLORIDA A&M UNIVERSITY

U N D E R G R A D U A T E A D M I S S I O N A P P L I C A T I O N

AlwaysE X C E L L E N C E ! I N A L L W A Y S , A L W A Y S . .

13.High School Graduation Date: __________ / __________ ____________________________________________________________________

14.An official transcript from each postsecondary school, college, or university you have attended must be provided.

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Failure to answer these questions will delay processing of your application.

15.If your answer to any of the following is yes, you must submit a full statement of relevant facts on a separate sheet attached to this form. You may be required to furnish the university with copies of all official documentation explaining the final disposition of the

proceedings.

a. Yes No Are you currently or have you ever been, charged with or subject to disciplinary action for scholastic or an other type

of misconduct at any educational institution?

b. Yes No Have you ever been charged with a violation of the law which resulted in, or, if still pending, could result in, probation, community service, a jail sentence, the revocation or suspension of your driver’s license (including traffic violations which resulted in a fine of $200 or more)?

If your records have been expunged pursuant to applicable law, you are not required to answer yes to these questions. If you are unsure whether you should answer yes to 15a or 15b, we strongly suggest that you answer yes and fully disclose all incidents. By doing so, you can avoid any risk of disciplinary action or revocation of an offer of admission.

18.Present High School/College Enrollment

a.If you are currently enrolled in a high school, college, or university, list all high school and college level courses which you are now taking or expect to complete before entering Florida A&M University. Use a separate sheet if necessary.

b.If you are not currently enrolled and do not expect to complete any courses, check here.

19.For Non-U.S. Citizens Only:

City and Country of Birth _________________________________________________________________________________________________

If a permanent immigrant, enter the alien registration number shown on your I-551 form: ______________ or you must provide a

photocopy of your Alien Registration card.

20.Provide a history of your activities since leaving high school. List chronologically how you have spent or plan to spend your time prior to entering Florida A&M University (employment, military service, etc.). Use a separate sheet if necessary.

21.Important. You must read and sign the following section in order to complete your application.

I understand that this application is for admission and is valid only for the term indicated in item 2 on page 1.

I also understand and agree that I will be bound by the university’s regulations concerning application deadline dates and admission requirements.

I further agree to the release of any transcript, student record, and test scores to this institution (including any SAT I, SAT-II, and ACT score reports that this institution may request from the College Board or ACT).

I certify that the information given in this application is complete and accurate, and I understand that to make false or fraudulent statements within this application or residence statement may result in disciplinary action, denial of admission and invalidation of credits or degrees earned. If admitted,

I hereby agree to abide by the policies of the Board of Governors and the rules and regulations of Florida A&M University. Should any of the informa- tion I have given change prior to my enrollment, I shall immediately notify the Office of Admissions and Recruitment.

I understand that the $30 check or money order I submit shall with this application is a nonrefundable fee.

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Personal Statement (for freshmen applicants only)

The personal statement is a very important part of your application. It assists Florida A&M University in knowing you as an individual, independent of test scores and other objective data. We ask that you respond to two of the topics below. Your personal statement should be no longer than 250 words each or a total of 500 words for both personal statements. The best

personal statements are not necessarily the longest ones. You may write or type your personal statements on a separate sheet and attach them to this form.

1.Describe an activity, interest, experience, or achievement in your life (this could be a book, movie or an activity or experi- ence at work, home or school) that has been particularly meaningful to you.

2. How has your family history, culture, or environment influenced who you are?

3. What qualities or unique characteristics do you possess that would allow you to contribute to the university community?

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Information for Residency Classification

A Florida “resident for tuition purposes” is a person who has, or a dependent person whose parent or legal guardian has, established and maintained legal residence in Florida for at least 12 months. Residence in Florida must be at a bonafide domicile rather than for the purpose of maintaining a residence incident to enrollment at an institution of higher education. To qualify as a Florida resident for tuition purposes, you must be a U.S. Citizen, permanent resident alien, or legal alien granted indefinite stay by the Immigration and Naturalization Service. Other persons not meeting the 12 month legal residence requirement may be classified as Florida residents for tuition purposes only if they fall within one of the limited special categories authorized by the Florida Legislature and Board of Governors. All other persons are ineligible for classification as a Florida “resident for tuition purposes.” Living in or attending school in Florida will not, in itself, establish legal residence. Students who who depend on out-of-state parents for support are presumed to be legal residents of the same state as their

parents.

Non-Florida Residents

I understand that I do not qualify as a Florida resident for tuition purposes for the term for which this application is submitted and that if I should qualify for

some future term, it will be necessary for me to file the required documentation prior to the beginning of the term to be considered for Florida residency classification.

Signature in ink: _____________________________________________________________________ Date: _______________________________________________

Florida Residents

This section must be completed in full if you claim Florida residency for tuition purposes.

Attach copies (if any) of documents required.

A notarized copy of your and/or your parents’ must recent tax return or other documentation may be requested to establish dependence/independence.

Dependent: a person for whom 50% or more of his/her support is provided by another as defined by the Internal Revenue Service. Independent: a person who provided more than 50% of his/her own support.

A copy of marriage certificate is required in all cases or spouse claiming partner’s residency.

A. I am in independent person and have maintained legal residence in Florida for at least 12 months.

B. I am a dependent person and my parent or legal guardian has maintained legal residence in Florida for at least 12 months.

C. I am a dependent person who has maintained legal residence for five years with an adult relative other than my parent or legal guardian, and my relative has maintained legal residence in Florida for at least 12 months. (Required: Copy of most recent tax return on which you were claimed as a dependent or other proof of dependency.)

D. I am married to a person who has maintained legal residence in Florida for at least 12 months. I have now established legal residence and intend to make Florida my permanent home. (Required: Copy of marriage certificate, claimant’s voter registration, diver license and vehicle registration.)

E. I was previously enrolled at a Florida state institution and classified as a Florida resident for tuition purposes. I abandoned my Florida domicile less than 12 months ago and am now re-establishing Florida legal residence.

F. According to the United States Immigration and Naturalization Service, I am a permanent resident alien or other legal alien granted indefinite stay and have maintained a domicile in Florida for at least 12 months. (Required: INS documentation and proof of Florida residency status.)

G. I am a member of the armed services of the United States and I am stationed in Florida on active military duty pursuant to military orders, or whose home of record is Florida, or I am a member’s spouse or dependent child. (Required: Copy of military orders or DD2058 showing home of record).

H. I am a full-time instructional or administrative employee employed by a Florida public school, community college or institution of higher educa- tion, or I am the employee’s spouse or dependent child. (Required: Copy of employment verification.)

I. I am part of the Latin American/Caribbean Scholarship program. (Required: Copy of scholarship papers.)

J. I am a qualified beneficiary under the terms of the Florida Prepaid College Program (s.240.551, F.S.).

K. I am living on the Isthmus of Panama and have completed 12 consecutive months of college work at the F.S.U. Panama Canal Branch, or I am the student’s spouse or dependent child. (Required: Copy of marriage certificate or proof of dependency.)

L. I am a full-time employee of a state agency or political subdivision of the state whose student fees are paid by the state agency or political sub- division for the purpose of job-related law enforcement or corrections training.

M. I am a Southern Regional Education Board’s Academic Common Market graduate student. (Required: Certification letter from State Coordinator,)

N. I am a McKnight Fellowship recipient. (Required: Verification from graduate studies.)

O. I am an active member of Florida National Guard who qualifies under s.250.10 (7) and (8) for the tuition assistance program.

Person claiming residency must complete this section in full.

Documents supporting the establishment of legal residence must be dated, issued, or filed 12 months before the first day of classes of the term for which a Florida resident classification is sought. All documentation is subject to verification.

Additional documentation other than what is required above may be requested in some cases.

_______________________________________________________________________________________________________________________________________

10.Claimant’s vehicle registration: State: _________ Tag Number: ______________________________________________Issue Date: _____ / _____ / _____

11.Non-U.S. Citizen only: (Copy of both sides of card required.) Resident Alien Number:_____________________________________ Issue Date: _____ / _____ / _____

I do hereby swear or affirm that the above named student meets all requirements indicated in the checked category above for classification as a Florida resident for tuition purposes. I understand that a false statement in this affidavit will subject me to penalties for making a false statement pursuant to 837.06. Florida Statutes, and Rule 6C-7.005. F.A.C.

___________________________________________________________________________________________________________________________________________

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5.Have you ever participated in any program or activities to help you prepare for higher education (e.g., University Outreach, Talent Search, Upward Bound, Junior Achievement, 4-H, etc.)? Please list all programs and activities.

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

6.Extracurricular, personal and volunteer activities: (you may attach additional sheets if necessary)

a. Extracurricular activities: list your organization(s), position, description of the activity and hours per week of involvement.

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

b.Community service work: list the type of work, your role and hours per week of involvement.

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

c.Talents and awards: list each, a description, the level and number of years of involvement.

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

d. Employment: list the job, title, description, hours per week and dates of employment.

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

7.Do you believe that you meet, or will meet, the criteria stipulated on page one for being a Talented Twenty designee? ________

The information requested below is optional, but it may assist in the review of your admissions. You are strongly encouraged to respond to these questions.

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