APPLICATION FOR ADMISSIONS
ONU US-Japan SUMMER CAMP
ADMISSIONS REQUIREMENTS
To be eligible to attend Ohio Northern University’s US-Japan Summer Camp, a student must be a high
school freshman-just graduated senior.
Summer Term (year) ___________
PLEASE PRINT
Name_____________________________________________________
□ Male ✔
□ Female
Mailing Address _____________________________________________________________
City _____________________________________ State _______ Zip Code ___________
E-mail address ______________________________________________________________
Social Security Number ________-_____-_______
Date of Birth ____________________
Intended College Major: _______________________________________________________
High School _________________________________________ Graduation Year _________
____Urban ____Suburban _____Rural ____Unknown
High School Address __________________________________________________________
City __________________________________________ State _________ Zip____________
Guidance Counselor _______________________ Counselor Phone ____________________
Parent’s Name ________________________________ Telephone _____________________
Parent’s E-mail address ________________________________________________________
By signing below, I certify that the information provided on this application is complete and accurate. I further pledge my earnest
effort to meet the academic requirements of the University and to comply with all rules and regulations which ONU has found to be
valuable in the maintenance of its standards of life and conduct. I further understand that if I have failed to disclose any pertinent
information requested, an offer of admission could be subject to further review.
______________________________________________________________________
Applicant’s Signature
Date
______________________________________________________________________
Parent/Guardian Signature (if applicant is under 18 years of age) Date
The programs of Ohio Northern University are open to all without regard to race, religion, national or ethnic origin, gender, age, or
disability. Most academic and athletic facilities are accessible to the physically disabled, as are some of the residence halls.
For further information contact:
The Office of Admissions
Ohio Northern University Ada, OH 45810