Application for Admission

			* Required Fields.

1. Student Information
First Name:*		Middle Name:*
Last Name:*
Address:*
City:*		State:*
Country:*
Zip Code:		Tel. (Home):*
Tel. (Work):		E-mail:*
Fax:		Cell. Phone:

2. Father's Information
First Name:*		Last Name:*
Address:		Occupation:*
City:		State:
Country:
Zip Code:		Tel. (Home):
Tel. (Work):		E-Mail:

3. Mother's Information
First Name:*		Last Name:*
Address:		Occupation:*
City:		State:
Country:
Zip Code:		Tel. (Home):
Tel. (Work):		E-Mail:

4. Student's Additional Information
List high school and community activities in which you participated and honors you have received
1.		2.
3.		4.
How did you hear about Ave Maria University Latin American Campus?*

The following information will be used for institutional research and federal reports only. It will in no way affect the
applicant's eligibility for admission to Ave Maria University Latin American Campus.
Date of Birth:*		Gender:*	Male Female
Place of Birth:*		Marital Status:*	Single Married Divorced
Race: Hispanic Not-Hispanic		Social Sec. #:
Country of Citizenship (List all if you have more than one):
Are you a U.S. Resident?* Yes No
Religious Preference:*		Semester you plan to enter:*
High School:*		Address:
City:*		State:*
Country:*
High School Graduation Date:*		Area of Academic Interest:*
Are you planning to live on campus?* Yes No

Give the name of each college or university in which you have enrolled since your high school graduation with the dates of your attendance. Official transcripts of all colleges and universities must be furnished by the applicants. Failure to give full and complete information on this matter may result in loss of credit or dismissal.

University:		Starting and Ending Date.
1.		1. - (mm/dd/yyyy)
2.		2. - (mm/dd/yyyy)
3.		3. - (mm/dd/yyyy)

Have you ever been placed on academic or disciplinary probation, suspended or dismissed from any school or college?*
		Yes No
If yes, explain:

I am fully aware that Ave Maria University Latin American Campus expects a high standard of performance from each of its students in both academic and personal conduct. I am in agreement with these principles and, if accepted for admission, I promise to abide by all rules and regulations of the University. I understand that if any information on this form is found to be inaccurate or incomplete, it will be sufficient cause for my rejection or dismissal.