About MeI am applying for : q Spring 2014 q Fall 2014 q Spring 2015

I am a : q Freshman q Freshman Transfer (1-27 college credits) q Sophomore Transfer (28-59 college credits) q Junior Transfer (60+ college credits)

First Name Middle Name Last Name Preferred First Name

Mailing Address: Number & Street Apartment/Unit

City State/Province Postal Code Country

Email Address:

Preferred Phone: q Home q Cell Secondary Phone: q Home q Cell

Sex: q Male q Female Date of Birth: Have you ever visited APU’s campus? q Yes q No

Citizenship Status: q U.S. citizen q Permanent resident (non-U.S. citizen) q Other citizenship (please specify)

Social Security Number (optional, but highly recommended for inancial aid awarding process and tax reporting):

List any friends or relatives who have attended or are now attending APU.

(Optional) Do you identify yourself as a person of Hispanic, Latino, or Spanish origin? q Yes q No

(Optional) How are you most comfortable describing yourself? (Please check all that apply.)

q American Indian or Alaska Native q Asian

q Native Hawaiian or Other Paciic Islander q Caucasian or White

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APU APPLICATIONG O D F I R S T

q Black or African American

____Year Year

My Family

PARENT 1 Relationship: q Father q Mother q Guardian

Name: First Name Last Name

Mailing Address (if diferent from yours): Number & Street Apartment/Unit

City State/Province Postal Code Country

Phone: Email Address:

Occupation: Employer:

Highest level of education completed: q High school q Some college q 2-year degree q Bachelor’s degree q Graduate degree(s) q Other/unknown

PARENT 2 Relationship: q Father q Mother q Guardian

Name: First Name Last Name

Mailing Address (if diferent from yours): Number & Street Apartment/Unit

City State/Province Postal Code Country

Phone: Email Address:

Occupation: Employer:

Highest level of education completed: q High school q Some college q 2-year degree q Bachelor’s degree q Graduate degree(s) q Other/unknown

My Life

High School Name:

High School Address: Graduation Date: City State/Province Month/Year

Please choose the academic major you plan to study at APU .

Please list some of the extracurricular activities you have participated in or include an activity resume with your application.

Activity #1 Are you interested in pursuing this in college? q Yes q No

Activity #2 Are you interested in pursuing this in college? q Yes q No

Activity #3 Are you interested in pursuing this in college? q Yes q No

Activity #4 Are you interested in pursuing this in college? q Yes q No

If you have listed an intercollegiate sport of interest, have you made contact with the APU coach? q Yes q No

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My Education

If you are applying as a freshman and took college courses in high school or applying as a transfer student, you must provide the information below.

We must receive all college transcripts, whether you expect to receive credit for the coursework or not, in order for you to be fully admitted to APU.

Have you taken any college courses? q Yes q No

Please list the names of ALL colleges attended, with the most recent college irst.

Most recent college Name Dates Attended: From - To Credits Completed

College Name Dates Attended: From - To Credits Completed

College Name Dates Attended: From - To Credits Completed

My Faith BackgroundDo you have a personal relationship with Jesus Christ? q Yes q No

Church Name:

How often do you attend church-related activities?HHo

q More than once weekly q Weekly q Monthly q Rarely

City State/Province Denomination

As a Christ-centered university, staff and faculty seek to respect and care for each individual while fostering a living-learning environment marked by God-honoring excellence, integrity, and accountability. As an integral part of our community, we encourage you to take responsibility for your actions and choices. This begins with upholding our community expectations and policies, which reflect our Four Cornerstones: Christ, Scholarship, Community, and Service.

ChristBelief in Christ is central to all we do. It is understanding God's love that informs all four cornerstones. Chapel creates an intentional worship experience that encourages the spiritual formation of all undergraduate students.

Four Cornerstones and Personal Statement

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Trustees' Scholarship and Honors College

Transformational ScholarshipWe are called to scholarship permeated by our Christian faith. The liberal arts are central in the curriculum, for we are dedicated to the education of the whole person. We also value the role of professional offerings that prepare students for specific careers.

Life-giving CommunityOur mission is to encourage, equip, and enable each student to fulfill his or her great potential and in turn encourage, equip, and enable others. The University reserves the right to confront behavior deemed detrimental to the student, community, University, and/or others, regardless of the location or age of the student.

Sacrificial ServiceService is at the heart of our local and international outreach, missions, and service-learning endeavors. Our students often find these experiences to be among the greatest of their lives.

Based on our Four Cornerstones, students are required to adhere to and complete the following requirements in order to continue enrollment and graduate from Azusa Pacific University. Do you understand these requirements as you consider the educational, social, and spiritual environment at Azusa Pacific University?

I agree to attend chapel three (3) times a week. q Definitely q Unsure*

I agree to complete the Biblical, Theological, and Philosophical Formation requirements in order to graduate with a bachelor's degree. Click here for more information.q Definitely q Unsure*

I agree to abide by oru student standards of conduct. Click here for more information. q Definitely q Unsure*

I agree to complete 120 hours of service credits in order to graduate with a bachelor's degree. q Definitely q Unsure*

* If you indicated you were Unsure with respect to one or more of the above requirements, someone will contactyou for clarification.

��� ��� �������� �� ��� ���� ��� ���� Pacific's Trustees' Scholarship and/or Honors College?

q Trustees' Scholarship q Honors College q Both

��� ��� ��������� ���������� � �������!" click here. For more information about the Honors College, click here.

P T Sc can be used to apply for the Honors College as well. However, applications for the

Honors College cannot be used to apply for the Trustees' Scholarship. If you have any questions about the application process for either of

these, please contact your Admissions Counselor once you have submitted your application.

Personal Statement

Please describe, in 500 words or less, why you are interested in continuing your educational journey within a distinctly Christian academic community.

(Attach a separate sheet if necessary)

Additional Information

Have you ever been found guilty, or responsible for, any criminal or military ofense, excluding minor traic violations, either as a juvenile or an adult?

q Yes q No If yes, please explain your incident(s).

Have you ever been academically dismissed from, declared ineligible to attend, or incurred disciplinary action at any institution?

q Yes q No If yes, please explain your academic dismissal.

901 East Alosta Avenue PO Box 7000 Azusa, CA 91702-7000

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Statement of Agreement with Institutional Policy

I #$%&''($ ') APU, you are expected to abide by the rules and regulations of the University as contained in the current Undergraduate Catalog, Student Standards of Conduct, and departmental brochures/policies in addition to what is described above. If there is a dispute between you and the University, you may appeal. It is your responsibility to be aware of the policies outlined at catalog.apu.edu. Checking the box below indicates that you have read and understand the preceding Statement of Agreement and you pledge to abide by the rules and regulations of Azusa Pacific University.

While APU is a distinctively Christian institution, students do not have to be Christians to be admitted. However, every student is encouraged to be open to learning about the Christian faith and expected to uphold the school’s policies and regulations. These include, but are not limited to, the following:

• As an evangelical Christian university, APU affirms the supremacy of Christ in all areas of life. Reflecting our Wesleyan-Holinessheritage, we consider right living important along with right belief. We seek truth primarily through Scripture and integrate othersources, such as reason, tradition, and experience.

• As an evangelical Christian community of disciples and scholars, Azusa Pacific University approaches diversity from a biblicalperspective, affirming that diversity is an expression of God's image, love, and boundless creativity.

• Students possessing, distributing, and/or using alcohol, narcotics, or other intoxicants on University premises or at University-sponsored activities will be subject to judicial action. The University acknowledges that biblical teaching, church history, and datashowing the dangers of alcohol abuse provide sound foundations for clear community standards related to alcohol. Therefore, theUniversity has established specific policies regarding this behavior, which can be found in the faculty, staff, and student handbooks.

• Find out more about where APU stands as a faith community by reading more about What We Believe.

Azusa Pacific University’s Annual Security Report includes statistics for the previous three years concerning reported crimes that occurred on campus, in certain off-campus property owned or controlled by Azusa Pacific University, and on public property within, or immediately accessible from, the campus. The report includes institutional policies concerning campus security, such as sexual assault and other matters. You can obtain a copy of this report by contacting the Department of Campus Safety at (626) 815-3898 or online at www.apu.edu/campussafety/.

Almost Finished!

Don’t forget to enclose a check when you mail your application to pay your $45 fee. By signing, I agree to respect the ideals, principles, and traditions of Azusa Pacific University as a Christian institution of higher learning as outlined above. I certify that the information in my application is complete and correct to the best of my knowledge. If my application is accepted, I agree to abide by the policies, standards, and regulations at Azusa Pacific University and respect the ideals, principles, and traditions it upholds as a Christian institution of higher learning. I further understand that this information will be relied upon by the officials of the University in determining my admissions status and that the submission of false information is grounds for rejection of my application, withdrawal of an offer of acceptance, dismissal from the University, revocation of a degree, and/or other disciplinary action. I understand that by submitting my application, I grant APU permission to request supplemental application materials directly from my high school(s)/college(s), should their policies allow for such a transaction. Checking this box indicates that you grant your high school(s)/college(s) permission to release your transcript(s) and that all information contained in your application is complete, factually correct, and honestly presented. By signing here, you agree to the above statement and uphold the Four Cornerstones of Christ, Scholarship, Community, and Service as outlined in the previous section. In addition, you acknowledge the requirements stated in the previous section. I also have read and understand the Statement of Agreement, and I pledge to abide by the rules and regulations

of Azusa Pacific University.

Student’s Signature Date

Azusa Paciic University, in compliance with Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Educational Amendment of 1972, and Section 504 of the Rehabilitation Act of 1975, does not discriminate

on the basis of race, color, national origin, gender, age, disability, or status as a veteran in any of its policies, practices, or procedures.