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UCAP | Online Application


Personal Information
Last Name:


First Name:


M.I.:


Maiden/Previous Name:


Address:


City:


State:


Zip Code:


County:


Home Phone:


Work Phone:


Cell Phone:


Email Address:


Place of Employment:


Position/Title:


Employer's Address:


Citizenship:
U.S.

Permanent Resident of U.S.

Other

What is the highest level of education your mother and/or father has completed?

Middle School

High School

College (4 Year Degree)

Beyond



Education Have you ever attended Ursuline College?

No

Yes

Last Year of Attendance:


List all colleges or universities you have ever attended for academic credit:

School Name & Location:


Dates Attended:


# Credits:


Degree Earned:




School Name & Location:


Dates Attended:


# Credits:


Degree Earned:




School Name & Location:


Dates Attended:


# Credits:


Degree Earned:




School Name & Location:


Dates Attended:


# Credits:


Degree Earned:




Work Experience Please list your work experience below. (A minimum of 3 years of full-time work experience is required. This may include full-time, part-time, and volunteer experience.)

Name of Employer:


City/State:


Dates:


Position:




Name of Employer:


City/State:


Dates:


Position:



Name of Employer:


City/State:


Dates:


Position:



Name of Employer:


City/State:


Dates:


Position:





Admissions Information I plan to enter Ursuline College:

Year:



I plan to pursue a Bachelor of Arts in:

Major:


If "Other", please describe:



I plan to pursue a Certificate in:

Course of Study:


If "Other", please describe:


Will your employer reimburse you for tuition?:
No

Yes

Percentage or Amount:


Do you intend to apply for financial aid? (Your answer will not affect your application):
No

Yes



How did you hear about the Ursuline College Accelerated Program (UCAP)? Please check all that apply.:

Plain Dealer

Radio

(Please specify which radio station:)

Referral from friend/family/coworker

Current UCAP student

(Please specify which student:)

Former UCAP student

(Please specify which student:)

Ursuline College Website

Other Website

(Please specify which website:)

Lakeland Community College

Cuyahoga Community College  

Other College

(Indicate which college:)

Other (Please specify:)



Goal Statement Please write 3 to 5 sentences describing your professional and academic goals.



By clicking the 'Submit' button below, I agree that I have read the following:


Ursuline College administers its policies of admission and all programs, services and activities in a nondiscriminatory manner.  No student will be denied educational services, access to programs, or participation in activities because of race, color, religion, national or ethnic origin, disability or gender.

I understand that I am responsible for the submission and receipt of official transcripts of my records, and that the College will accept, for its permanent file, only those transcripts issued directly by the Registrar of each institution I have attended.

Formal admission to Ursuline College as a degree or certificate candidate is granted only after all admission materials have been received and all minimum standards are met.

I certify that the statements submitted in this request for admission and evaluation are complete and accurate to the best of my knowledge and belief.   I further authorize Ursuline College to make appropriate inquiries when necessary to certify the accuracy of my records.