SAINT DOMINIC UNIVERSITY

APPLICATION FOR UNDERGRADUATE
ADMISSION 2008-2009

DEGREE APPLYING FOR (Specify major/program) :

Indicate any preferences, options, or preferred concentration:


Applying for:     Fall 2008 Quarter     Winter 2008 Quarter     Spring 2008 Quarter

First name     Middle names     Surname

Gender:     M    F     Telephone Number (include country code)

Fax (Optional)     Email

Permanent address


Mailing address (If different)


Date of birth     Birthplace     Country of citizenship    

Do you come from an English speaking country or have you lived in an English speaking country?    Yes       No      

If yes, how long have you lived there?

Have you previously applied for admission to Saint Dominic University?     Yes     No    

Hobbies and extracurricular interests and activities


Current employment details (if applicable)


Indicate your English language proficiency in the boxes below ( E – Excellent V- Very Good G – Good F – Fair P – Poor)
Listening     Reading     Speaking     Writing     Overall    

List below all schools/colleges/universities that you attended or still attending