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Update Asia Programs Student Application 2021

This document is an application for admission to Benedictine University. It requests basic personal information such as name, contact details, citizenship, education history, employment, and requires submission of test scores, references, personal statement, and resume. By signing, the applicant agrees to comply with university policies, authorizes Benedictine to verify application information, and grants permission for the university to use photos of the applicant.

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namlh.tg
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47 views

Update Asia Programs Student Application 2021

This document is an application for admission to Benedictine University. It requests basic personal information such as name, contact details, citizenship, education history, employment, and requires submission of test scores, references, personal statement, and resume. By signing, the applicant agrees to comply with university policies, authorizes Benedictine to verify application information, and grants permission for the university to use photos of the applicant.

Uploaded by

namlh.tg
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Application for

Admission

5700 College Road, Lisle Illinois 60532 Email: [email protected]


Office Phone: (630)829-6304 Web Address: ben.edu/IPS

GENERAL INFORMATION
Last Name(Family Name) First Name(Given) Name Middle Name

Maiden Name(If any) Full Name in Chinese/Vietnamese on Your Passport/ID

Other name(s) Preferred Full Name

Gender □Male □Female


Marital Status □Single □ Married □Other
Date of Birth(mm-dd-yyyy)
Nationality/Citizenship
Current Email Address Alternative Email Address

Current Mobile Phone Alternative Mobile/Office Phone

Current Mailing Address

Apt/Room/Condo # St. /Rd. District City

Province Country Postal Code


PLEASE LIST THE NAME OF ALL COLLEGES AND UNIVERSITIES PREVIOUSLY ATTENDED AS A PART OF
UNDERGRADUATE AND/OR GRADUATE COURSEWORK. THIS INFORMATION IS NECESSARY FOR A COMPLETE
ACADEMIC HISTORY AND FAILURE TO DISCLOSE ALL PREVIOUS COLLEGE INFORMATION WILL RESULT IN
IMMEDIATE DENIAL OF ADMISSION, REVOKING OF ADMISSION OR DISMISSAL FROM THE UNIVERSITY.

…………………………………………………………..
HAVE YOU EVER PLEADED “GUILTY” OR “NO CONTEST” TO, OR BEEN CONVICTED OF, A FELONY?
❒ YES ❒ NO
IF YES, PLEASE PROVIDE DATE(S) (MM/DD/YY) AND DETAILS

ANSWERING YES DOES NOT CONSTITUTE AN AUTOMATIC BAR TO ADMISSION. FACTORS SUCH AS DATE OF THE
OFFENSE, SERIOUSNESS AND NATURE OF THE VIOLATION AND REHABILITATION WILL BE TAKEN INTO ACCOUNT. NOTE:
YOU ARE NOT OBLIGATED TO DISCLOSE THE EXISTENCE OF ANY CONVICTION OR ARREST RECORDS WHICH HAVE BEEN
SEALED OR EXPUNGED PURSUANT TO CHAPTER 20, SECTION 2630/12 OF THE ILLINOIS COMPILED STATUTES.

REQUIRED — CITIZENSHIP INFORMATION — MUST BE COMPLETED


An international applicant is a citizen or permanent resident alien of a country other than that of
United States.
Country of citizenship:
Country of birth:

ADMISSIONS INFORMATION
When do you expect to enter Benedictine University?

Quarter Calendar: ❒ Fall ❒ Winter ❒ Spring ❒ Summer

Semester Calendar: ❒ Fall (August) ❒ Spring (January) ❒ Summer (June)

Have you ever applied to any graduate program at Benedictine University? ❒ No ❒ Yes If Yes, When?

Have you ever attended Benedictine University? ❒ No ❒ Yes If Yes, dates attended(MM/DD/YY)

What is the name of Benedictine’s partner university that you will be studying at in Asia?

……………………. ……………………………………………………………..

GRADUATE ACADEMIC INFORMATION


❒ Master of Business Administration (M.B.A.)

❒ Master of Science in Management Information Systems (M.S.M.I.S.)

❒ Master of Public Health (M.P.H.)

❒ Master of Arts in Linguistics( M.A.L)


LETTERS OF REFERENCE — PLEASE ATTACH
Please attach two letters of reference.
Please list the name, relationship and position of references below:
NAME RELATIONSHIP POSITION

NAME RELATIONSHIP POSITION

GRADUATE ENTRANCE TESTS


❒ Graduate Management Admission Test(GMAT) Date
Taken(MM/DD/YY) Score
❒ Test of English as a Foreign Language (TOEFL) Date
Taken(MM/DD/YY) Score
❒ College English Test (CET) Date
Taken(MM/DD/YY) Score
❒ Test of International English Language Testing System( IELTS) Date
Taken(MM/DD/YY) Score

EMPLOYER INFORMATION
ARE YOU CURRENTLY EMPLOYED? ❒ NO ❒ YES ❒ FULL TIME ❒ PART TIME

EMPLOYER NAME JOB TITLE


DEPARTMENT/SECTION/OFFICE
WORK PHONE WORK E-MAIL
EMPLOYER ADDRESS STREET

CITY STATE/PROVINCE/TERRITORY
COUNTRY POSTAL CODE
DESCRIBE YOUR CURRENT JOB RESPONSIBILITIE

ESSAY STATEMENT OF CAREER AND EDUCATIONAL GOALS (GRADUATE DEGREE ONLY) — PLEASE ATTACH
Please submit an essay/statement explaining your education and career goals. Identify what you expect to
gain from your graduate degree program and how it will enable you to achieve your goals.
APPLICANTS PLEASE NOTE THE FOLLOWING: APPLICANTS PLEASE REVIEW:
1) Send all materials to International Programs and All applications shall be prepared according to the order
Services, 5700 College Rd. Lisle IL 60532, USA
specified below and each item shall be checked before
submission. Applications are considered for admission only
after all of the required credentials are received.
2) A personal interview with a University
representative is normally required and arranged ❒Asia Programs- International graduate application
❒A bachelor’s degree (4-year degree) from an accredited
prior to admission decision
University
3) You will be considered for admission only after ❒English Proficiency Certificate or required documents
all of your credentials are received. ❒Official transcripts and certified diplomas from

4) Only original applications and transcripts are


college/universities previously attended with an English
accepted. translation. Official and sealed transcripts must be issued
by the school with signature of the registrar and the
5) All documents submitted become property of
institutional seal.
Benedictine University and will not be released to
❒Two letters of reference from professors, school officials or
the student or any third-party. employers
❒Personal statement of the student’s educational and career
goals
❒Résumé/Curriculum Vitae

READ CAREFULLY AND SIGN AS INDICATED


I AGREE TO COMPLY WITH THE REGULATIONS AND REQUIREMENTS OF BENEDICTINE UNIVERSITY, AND TO COOPERATE WITH THE
ADMINISTRATIVE
OFFICERS, FACULTY AND MY FELLOW STUDENTS IN MAINTAINING HIGH STANDARDS OF CONDUCT AND SCHOLARSHIP AND IN
PROMOTING THE
GENERAL WELFARE OF THE UNIVERSITY. I UNDERSTAND THAT THE UNIVERSITY RESERVES THE RIGHT TO CANCEL THE
REGISTRATION OF ANY
STUDENT AT ANY TIME WHATSOEVER FOR REASON OF DEFICIENCY IN SCHOLARSHIP, UNSATISFACTORY CONDUCT, OR FOR ANY
OTHER JUST CAUSE.
I AGREE TO PAY ALL FEES IN ADVANCE EACH SEMESTER OR BY SPECIAL ARRANGEMENT WITH THE UNIVERSITY. I CERTIFY THAT
THE INFORMATION I
HAVE PROVIDED IS TO THE BEST OF MY KNOWLEDGE CORRECT AND COMPLETE. FAILURE TO PRESENT ACCURATE INFORMATION IN
THIS DOCUMENT
CAN LEAD TO THE DENIAL OF ADMISSION, REVOKING OF ADMISSION OR ADMINISTRATIVE WITHDRAWAL FROM COURSE
ENROLLMENT. I HEREBY
AUTHORIZE BENEDICTINE TO INVESTIGATE ANY STATEMENT CONTAINED IN THIS APPLICATION. I HEREBY RELEASE ANY PARTY
FROM LIABILITY AS
A RESULT OF ANY INFORMATION PROVIDED TO BENEDICTINE. IT IS UNDERSTOOD THAT I ACCEPT REGISTRATION AS A STUDENT AT
BENEDICTINE
SUBJECT TO THE ABOVE PROVISIONS.
I GIVE BENEDICTINE UNIVERSITY PERMISSION TO USE MY LIKENESS IN PHOTOGRAPHS AND/OR VIDEO IN ANY AND ALL OF ITS
PUBLICATIONS,
INCLUDING WEBSITES AND PAGES, AND IN ANY AND ALL OTHER MEDIA, WHETHER NOW KNOWN OR HEREAFTER EXISTING,
CONTROLLED BY
BENEDICTINE UNIVERSITY, IN PERPETUITY, AND FOR OTHER USE BY THE UNIVERSITY INCLUDING BUT NOT LIMITED TO
PROMOTING THE UNIVERSITY
AND ITS PROGRAMS AND ACTIVITIES. ALL PHOTOS TAKEN ARE WITHOUT COMPENSATION TO ME (THE UNDERSIGNED). ALL
ELECTRONIC OR NONELECTRONIC NEGATIVES, POSITIVES AND PRINTS ARE OWNED BY THE UNIVERSITY.
I HEREBY ACKNOWLEDGE THAT I AM 18 YEARS OF AGE OR OLDER AND HAVE READ AND UNDERSTAND THE TERMS OF THIS
APPLICATION AND RELEASE.

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