CICV Application

International Application For Admission

Instructions:

1. Complete all information on the application form which follows (Virginia's private universities will waive the application fee).

2. Forward official transcripts to the universities to which you are applying, describing courses taken and grades earned from all secondary schools and universities attended. Copies of any appropriate diplomas, certificates, or exam results should also be provided. Documents in languages other than English must be accompanied by certified English translations. The U.S. Department of Immigration and Naturalization has certified several organizations.

3. Non-native English speakers should complete the Test of English as a Foreign Language (TOEFL) Exam and have the results forwarded. In some cases, the SAT I Reasoning Test (or the ACT) is also required. Minimum TOEFL score requirements and standardized test requirements vary from university to university.

4. When universities respond to your application, they may require additional information (i.e., documentation of financial support, SAT exam scores, essay on one or more topics, counselor or teacher recommendations, etc.). Be prepared to provide this information in a timely manner.

5. Your application will be complete for evaluation when all of the following are on file: the application form, official transcripts of your secondary school record, transcripts from all universities where you have taken courses (if applicable), TOEFL scores (if you are a non-native speaker), and any other information required by individual universities. When responding to your application, each university will indicate the deadline for receiving the information listed above.

NOTE: Washington and Lee University does not participate in this on-line application program.

I. INTERNATIONAL APPLICATION FOR ADMISSION:

To Which Virginia private universities are you applying? (pick up to three)

This application is for Fall , Spring of

II. PERSONAL INFORMATION

Name:
-----------Family----------------------------First--------------------------------Middle

Nickname: Male Female

Permanent Address: (Please use this address)

Temporary Address (if different): (Please use this address until )

Email:
Fax:
Telephone:

Your Date of Birth: Day of in 19

Place of Birth:

County of Citizenship:

If you are not a citizen of the United States, are you a permanent resident of the U.S.? Yes No

III. SUPPLEMENTAL INFORMATION

Please Check the type of visa that you now hold or plan to request:
Student (F)
Exchange Visitor (J)
Diplomatic (A-1 or A2)
Visitor (B-2)
International Organization (G-4)
Other (Please specify: )

If you have immigrant status, please indicate the following:
Alien Registration number:
Date alien registration card was received:
Date visa will expire:
Date passport will expire:

Name and address of person to contact in the United States in case of an emergency (if available):
Name:
Street Address:
City: State: Zip:
Phone:

Language Spoken at home:
Years of formal study of English: High School: University:

If you are no longer in school, please tell what you are doing:

IV. FAMILY INFORMATION

Father's* full name: Living?
His home address if different from yours:

His occupation and title (if any):

-----------------(Describe Briefly)
Name of his university (if any):
Degree: Year:
Mother's* full name: Living?
Her home address if different from yours:

Her occupation and title (if any):

-----------------(Describe Briefly)
Name of her university (if any):
Degree: Year:
*If your parents are divorced or separated, or if anyone other than a parent is responsible for you, please give the following information about the person to whom communications should be sent:
Name:
Relationship:
Address:

V. ACADEMIC INTERESTS:

Indicate your top 3 academic areas of interest:

1.
2.
3.

VI. ACADEMIC BACKGROUND

Entry One: