FSU Application for Admission

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Enrollment Permission Form

* Required Fields

*First Name:

Middle:

*Last Name:

Social Security #:

*Email:

*Date of Birth:

*Phone:

*Address Line 1:

Address Line 2:

*City:

*State:

*Zip:

Country:

Yes

*Are you a United States citizen?

*Indicate your classification for this application:

Freshman

Transfer

Re-entry

Summer Only

Intersession Only

Which campus will you be attending?

Frostburg

Hagerstown

Catonsville

Have you applied to or attended FSU before?

Yes

*Current or Most Recent School

Instructions

Attendance Dates



From Date:	To Date:	Expected Grad Date

General Comments:

How did you hear about opportunities at FSU?

Indicate ALL that apply.

Admissions Counselor Visited My School

Facebook

Postcard

Alumni

Friends

Radio

Brochure

Guidance Counselor

Restaurant

College Fair

Internet Search

Theatre

Employer

Magazine

Family

Newspaper

Other - Please explain

The following is requested for reporting purposes (optional)

Gender:

Colleges and universities are asked by many agencies, including federal and State governments, and national surveys, to describe the racial and ethnic backgrounds of our students and employees. This information is not used to determine eligibility for admission. You should answer both questions.

What is your race?

Are you of Hispanic or Latino origin?


	Yes
	No

Select one or more of the following categories.

White

Black or African American

Asian

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American: A person having origins in any of the black racial groups of Africa.

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race.

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains cultural identification through tribal affiliation or community attachment.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

I certify that the statements made in this application are correct and complete. I understand that discovery of false information is grounds for immediate dismissal and forfeiture of all financial payments and academic credits.

If admitted, I agree to comply with all policies and regulations of Frostburg State University in effect while I am a student and to assume responsibility for any financial obligations that I may incur.

In making this application, I accept and agree to abide by the policies and regulations of Frostburg State University concerning drug and alcohol abuse and understand that the unlawful use of drugs or alcohol will subject me to the penalties contained in those policies and regulations.

If the conditions affecting my residency status change, I will notify the University, in writing, within fifteen (15) days of such change.

By checking this box, I / we understand that the names entered below are accepted in lieu of written signatures.

Student's Signature:

Date:

Required if applicant is under 18 years old

Parent's Signature:

Date:

*$30 Application Fee Payment Option:

Your application will not be processed until this fee has been received.

Credit Card or Electronic Check

Check/Money Order

Maryland Distinquished Scholar

Please mail a copy of your certificate or award letter to the Office of Admissions

Apply as a Re-entry Undergraduate