DC Work - Salesforce Connection ADM - OVU SPEDI Application for Admission

Personal Information
Prefix
First Name *
Last Name *
Middle Name
Suffix
Date of Birth *

Month Day Year
Address Information

Please enter your Permanent Mailing Address
Street Address *
City *
State *
Zip/Code *
Contact Information
E-mail *
Phone Number *

Area Code Phone Number
Phone Type *

Cell Landline
Demographic Information

Information collected in this section is for reporting only and is not used to make decisions regarding admission to Ohio Valley University.
Gender *

Male Female
Which best describes you? Please check any that apply, you may select more than one.

American Indian or Alaska Native Asian Black/African American Hispanic or Latino Middle Eastern or North African Native Hawaiian or other Pacific Islander White Other -Prefer Not to Answer-
If other, please explain
Marital Status
Religion
If other, please explain
Veteran Status
Retired?

Yes No
U.S. Citizen?

Yes No
Enrollment Term

Please choose your expected Enrollment Term and Intended program
Semester of Admittance *
Year Attending *
Enter the year you intend to enroll in the program
I am seeking *
Academic Information
Do you hold a valid teaching certificate? *

Yes No
State *
Certification Areas *
I am a member of

National Christian School Association (NCSA) Association of Christian Schools International (ACSI) Christian Schools International (CSI)
Education History

Degree 1
Degree(s) Obtained

Please list all degrees you have obtained as well as the institution you got them from and your graduation year
Degree *
Major *
Graduation Year *
Enter 4 digit year
Name of College/University *
City *
State *
Postal Code *
Country *
Do you need to list any other degrees? *

Yes No

END - College Section
Source
How did you hear about us? *
Felony Notification
Have you ever been accused, indicted, or convicted of a criminal law violation as an adult? *

Yes No
Please explain *
APPLICATION POLICY

I understand that submitting incorrect or false information may result in rejection of this application or dismissal from the university, even if I have been admitted and have begun classes. I understand Ohio Valley University strives to maintain an atmosphere conducive to all aspects of academic excellence and personal development. With these objectives in mind, students are expected to uphold Christian principles and the guidelines set forth to maintain them.

I AGREE to abide by all institutional regulations as stated in the current university Catalog and student Handbook.

I AFFIRM that the information provided above is correct and I hereby request to be admitted to OHio Valley University.
By typing your name below, you confirm that you have read and fully understand the terms and conditions set forth in our Application Policy and that you have reviewed all the information on this application form and have found it to be accurate:
I confirm the above statement is true. *
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