Famu Admission Application Form PDF Details

Embarking on the journey towards higher education is a significant step, and Florida A&M University (FAMU) offers an inclusive and comprehensive process through its Undergraduate Admission Application. The application procedure is designed to welcome students from diverse backgrounds, encouraging applications irrespective of color, race, religion, national origin, gender, disability, veteran status, or marital status, reflecting its commitment to excellence with caring. With a clear directive to submit the application online for efficiency, the form requires meticulous completion, including a $30 application fee, in black ink for clarity, ensuring no part is left unfilled as this could result in processing delays. Deadlines are emphasized for the Fall, Spring, and Summer terms to help applicants plan accordingly. Furthermore, the form necessitates submissions of official transcripts and test scores, including ACT or SAT for fresh applicants or transfer students with less than 60 semester hours, and possibly TOEFL scores for non-native English speakers. Moreover, FAMU's application delves into personal aspects, offering an opportunity for applicants to request special admission consideration based on a disability, underscoring the university's adherence to inclusivity. The provided list of majors showcases the breadth of academic paths available, from engineering fields to arts and sciences, catering to a wide range of interests and careers. Significantly, the application purports honesty and integrity, with sections probing into the applicant's disciplinary and legal history, supplemented by personal statements that offer a window into the individual's unique experiences, values, and potential contributions to the university community, encapsulating the essence of the applicant beyond academic achievements.

QuestionAnswer
Form NameFamu Admission Application Form
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesfamu undrgraduate application, famu admission application, famu undrgraduate admission application, famu application

Form Preview Example

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 . .

F l o r i d a A & M U n i v e r s i t y

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

ADMISSION APPLICATION PROCEDURES (Please read in full.)

This is the form you will use to apply for undergraduate admission to Florida A&M University. Florida A&M University

encourages admission applications from qualified students regardless of color, race, religion, national origin, gender, disability,

veteran status, or marital status.

We encourage you to submit your application online. You may do so by visiting our website at www.famu.edu. Please be sure

to type or print in black ink and to complete each item, as incomplete forms cannot be processed.

1. Application for Admission

Please attach your $30 check or money order (U.S. currency: do not send cash), made payable to Florida A&M University.

Your application cannot be processed if it is not included. This is a nonrefundable application fee.

Applications for admission will not be processed more than one year in advance of the date for which entrance is sought.

Answer all questions completely and accurately.

Priority deadline dates for admission are as follows.

Fall Term . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . May 15

Spring Term. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . November 15

Summer Term . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .March 15

• Freshman applicants should submit two letters of recommendation from a high school teacher, counselor or principal.

2. Official Transcripts

Transcripts must be sent to the Office of Admissions and Recruitment at the following address. Florida A&M University

Office of Admissions and Recruitment

Foote-Hilyer Administration Center 400 Lee Hall Drive. • Suite G-9 Tallahassee, Florida 32307-3200

Request that your current name and Social Security Number be added to the transcript if necessary. All transcripts and test

scores become the sole property of the university.

If you are a beginning freshman or transfer applicant with less than 60 semester hours of transferable academic credit, ask your high school to forward your official high school record.

If you have attempted any coursework either as dual enrollment in high school or following high school, ask each school to forward an official transcript of your academic record. Transcripts must be mailed directly from the institution or forwarded electronically.

Completers of high school by GED must provide an official copy of test scores (as well as a partial high school transcript).

Transfer students who completed two years of the same foreign language in high school must submit official high school transcripts.

3. Admission Test Scores

It is your responsibility to make the necessary arrangements to take the appropriate tests. Contact your school counseling

office for more information.

ACT or SAT (critical reading and math) scores are required if you are seeking admission as a freshman or transfer with less than 60 semester hours of transferable academic credit. Have the official test scores forwarded directly to Florida A&M

University by the testing agency.

Applicants whose native language is not English may be required to take the Test of English as a Foreign Language (TOEFL) and have their scores submitted by the Educational Testing Service.

4. Additional Information: Admission Consideration Based on Disability

If you wish to request special admission consideration based on a disability, FAMU will consider this information within the following guidelines: (1) documentation regarding the disability will need to be provided on a voluntary basis, (2) all infor- mation will be kept confidential, (3) refusal to provide information will not subject the applicant to adverse treatment, and

(4) information will only be used in connection with the university’s voluntary efforts to overcome the effects of conditions that may have resulted in limited participation of persons with disabilities. See item 12, page 1. Applicants are not required to complete this item.

Below is a list of majors offered at Florida A&M University

Accounting

Chemistry Education

English

Jazz Studies

Physics

African-American Studies

Civil Engineering

English Education

Journalism

Political Science

Agriculture

Civil Engineering Technology

Environmental Sciences

Landscape Design and

Pre-Kindergarten Primary

Agricultural Business

Computer Engineering

Fine Arts

Management

Architectural Studies

Computer Information

French

Magazine Production

Education

Architecture

Science

Graphic Communication

Manufacturing Engineering

Psychology

Art Education

Construction Engineering

Graphic Design

Technology

Public Relations

Biological & Agricultural

Technology

Health Care Management

Mathematics

System

Criminal Justice

Health Information

Mathematics Education

Respiratory Therapy

Biology

Drama Education

Management

Mechanical Engineering

Science Education

Broadcast Journalism

Economics

Health Science

Music

Social Science Education

Business Administration

Early Childhood Education

Health Services Administration

Music Education

Business Economics

Electrical Engineering

History

Newspaper Journalism

Social Work

Business Education

Electronic Engineering

Industrial Arts Education

Nursing

Sociology

Cardiopulmonary Science

Technology

Industrial Engineering/

Pharmacy

Spanish

Chemical Engineering

Elementary Education

Technology

Philosophy and Religion

Chemistry

Engineering

International Agriculture

Physical Education

Theatre

Type or Print in Black Ink

 

 

 

1. ________________ / _________ / ________________

 

 

 

U.S. Social Security Number

 

 

 

________________________________________________

__________________________________ __________________________ ___________

Last Name

First Name

Middle Name

Jr., III, etc.

2.For which term, in which year, do you seek admission?

August ___________________ January ________________________

May _____________________ June ___________________________

3.This application is for enrollment as:

First time in college freshman

Undergraduate transfer

Second bachelor’s degree

Former degree-seeking

Other: ____________________

student returning (no fee required)

4. If your transcripts, test scores, etc. might arrive under any name(s) other than those listed

8. Male

Female

above, enter here: ________________________________________________________________

9. Race/National origin (please check only one):

5. Nation of Citizenship: _________________________ 6. Date of birth: ______ / _____ / ______

American Indian or Native Alaskan

 

 

 

 

 

7. Print your permanent address. All correspondence will be mailed to this address.

Asian or Pacific Islander

Black (not of Hispanic origin)

___________________________________________________________________________________

Hispanic

 

Street Address

 

 

 

Apt. No.

 

 

 

 

White (not of Hispanic origin)

 

 

 

 

 

___________________________________________________________________________________

(Florida A&M University is a recipi-

City

 

County (or Province)

State/Nation

ent of federal dollars and is required

 

 

 

 

 

_________________________________(__________) ______________________________________

by the federal government to solicit

certain demographic information to

Zip Code

 

 

Telephone Number

 

 

 

 

meet federal reporting requirements.

 

 

 

 

 

(__________) _______________________________ (__________)_____________________________

Applicants are requested to provide

Daytime Telephone Number

 

Fax Number

 

this information voluntarily. This infor-

 

 

 

 

 

mation will not be utilized in a discrimi-

___________________________________________________________________________________

natory manner.)

Email Address (if available)

 

Work Zip Code

 

 

 

 

10. In case of an emergency, indicate the person you request the university contact:

11. What is your planned major?

___________________________________________________________________________________

__________________________________

Last Name

 

 

First Name

M.I.

 

 

___________________________________________________________________________________

College/school?

 

 

Number and Street Address

 

 

Apt. No.

__________________________________

 

 

 

 

 

___________________________________________________________________________________

12. If you wish to request special admission

City

 

 

State/Nation

Zip Code

 

 

consideration based upon a disability,

 

 

 

 

 

(__________) _______________________________ (__________) ___________________________

please check here. Applicants are not

Telephone Number

 

Daytime Telephone Number

required to complete this item.

Relationship:

Mother

Father

Legal Guardian

Other: _____________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.High School Graduation Date: __________ / __________ ____________________________________________________________________

Month

Year

High School Name (Official transcript must be provided)

High School Code: ______________________________

______________________________

_____________________________________

(Ask your counselor for the 6-digit CEEB Number)

City

State/Nation

(_________) ___________________________________________

If High School was completed by GED, enter year _______________________

High School Area Code and Telephone Number

 

(Official copy of test scores and official partial high school transcript required)

 

 

 

 

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

Please list in chronological order every postsecondary institution (including dual enrollment) you have attended or will attend prior to entering this university. (You must include schools even if you did not complete a term.) Include Florida A&M University if you attended pre-

viously. For multi-campus institutions, indicate the specific campus.

Failure to list all institutions could result in your application being denied or your admission being rescinded. Use a separate sheet if necessary.

School (Please do not abbreviate)City, State or Nation

________________________________________________________________

________________________________________________________________

________________________________________________________________

Enter dates of attendance

 

 

 

 

Enter credit earned

(including present enrollment)

 

 

 

or expected from

and degrees earned or expected

 

 

 

each institution

before attending this university.

 

 

 

attended.

Include Associate Degrees,

 

 

 

 

 

 

certificates, or diplomas

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates of Attendance

 

 

Degree

Date

 

Credit Hours

 

From

To

 

 

Earned

Expected

Earned

Expected

Mo.

Yr.

Mo.

 

Yr.

 

Type

Mo.

 

Yr.

Number

Unit Sem./Qtr.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 1

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.

16.If you have taken or plan to take any of the tests below, enter the month and year.

Official records of all test scores must be provided.

 

1st Time

2nd Time

3rd Time

4th Time

Test

Mo.

Yr.

Mo.

Yr.

Mo.

Yr.

Mo.

Yr.

ACT

 

 

 

 

 

 

 

 

SAT

 

 

 

 

 

 

 

 

TOEFL

 

 

 

 

 

 

 

 

CLAST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.Have you completed the foreign language requirement?

Yes No

If yes, where?

High School College

If yes, please submit appropriate

official transcripts.

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.

 

Courses for Which You Are Now Enrolled

 

Courses You Expect to Complete Before Entering

 

Name of Institution:_______________________________________

Name of Institution:__________________________________________

 

Title of Course

 

Course

 

Date Course

 

Credit Hrs.

Title of Course

 

Course

 

Date Course

 

Credit Hrs.

 

 

 

 

 

 

 

 

 

 

No.

 

Will End

 

(Sem./Qtr.)

 

 

No.

 

Will End

 

(Sem./Qtr.)

 

 

 

 

 

Mo.

Yrs

 

 

 

 

 

 

Mo.

Yr.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

City and Country of Birth _________________________________________________________________________________________________

What VISA do you presently hold?

F1

F2

J1

J2

None

Other:__________________ I-94 Expiration Date: ____ / ____

What VISA are you applying for:

F1

F2

J1

J2

None

Other:__________________

Mo. Yr.

What institution issued your last I-20?

__________________________________ Did you attend?

Yes

No

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.

Activity

City, State or Nation

 

From

 

To

 

Mo.

 

Yr.

Mo.

 

Yr.

 

 

 

 

 

 

 

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.

Applicant’s Original Signature (in ink)

U.S. Social Security Number

Date

Page 2

Attach a check or money order for thirty dollars ($30) payable to Florida A&M University.

You are encouraged to apply online

at www.famu.edu

Staple

$30

Application Fee

Here

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?

Page 3

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.

1.

Name of Student: _______________________________________________

2.

Student’s Social Security Number: ____________ / _______ / ____________

3.

Name of person claiming Florida residency: ________________________

4.

Claimant’s relationship to student: ___________________________________

5.

Claimant’s permanent legal address: ______________________________

6.

Claimant’s telephone number: (____________) ________________________

_______________________________________________________________________________________________________________________________________

 

Street/P.O. Box

 

Apt. No.

City

State

Zip Code

7.

Date claimant began establishing legal Florida residence and domicile: __________________ / _______________ / _________________

 

8.

Claimant’s voter registration:

State: _________

Number: ________________

County: _________________________Issue Date: _____ / _____ / _____

9

Claimant’s driver license:

State: _________

Number: __________________________________________________Issue Date: _____ / _____ / _____

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.

___________________________________________________________________________________________________________________________________________

Signature of person claiming Florida residency (as listed in item #3 above)

Date

Revised 4/15/2002

Page 4

1.

Please circle your housing preference:

2.

Are you a veteran of the U.S. Military:

Yes

No

 

on-campus (if available)

off-campus

 

 

 

 

 

 

(Separate application required)

 

 

 

 

 

 

 

 

 

 

 

3.

If your native language is other than English, how many

4.

Names of your immediate family who have attended

 

 

years have you studied and spoken English?

 

Florida A&M University:

 

 

 

 

 

 

Name:

Relationship:

Year of Graduation:

 

Language: _________________

years spoken: ___________

 

__________________________________________________

 

Language: _________________

years spoken: ___________

 

__________________________________________________

 

 

 

 

__________________________________________________

 

 

 

 

 

 

 

 

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.

Please indicate the highest level of your parent’s or legal guardian’s educational background:

Father/legal guardian:

 

None

Some

 

Diploma/Degree

 

High School

 

 

 

 

 

 

College

 

 

 

 

 

 

Other

 

 

 

 

 

 

Mother/legal guardian:

 

 

 

 

 

 

 

 

 

 

 

 

None

Some

 

Diploma/Degree

 

High School

 

 

 

 

 

 

College

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

Are you living in a single parent home?

Yes

No

 

Are you a first generation college attendee?

Yes

No

 

How many people, including yourself, live in your household? (Include brothers and sisters attending college.) __________

______________________________________________________

Parent/legal guardian occupation:

father: ________________ mother: _____________________

Please indicate, for the most recent tax year, your family’s gross income. Include both untaxed and taxed income.

Less than $20,000 $20,000 – $39,000 $40,000 – $59,000 $60,000 – $79,000 more than $80,000

Do you have family obligations that keep you from participat- ing in extracurricular activities?

Yes: No

a. I have to work to supplement family income. Please describe:

b. I provide primary care for family member(s). Please describe:

c.Other

Please describe:

Page 5

Florida A&M University

Office of Admissions and Recruitment

Foote-Hilyer Administration Center

400 Lee Hall Drive • Suite G-9

Tallahassee, Florida 32307-3200

850.599.3796

(Toll Free) 1.866.642.1198

www.famu.edu