Bloomsburg University of Pennsylvania
Application for Admission
I am applying for admission to
Bloomsburg University for:
I wish to enter as a/an (check all that apply):
❑ Fall
Year: _________
❑ freshman
❑ transfer
❑ Spring
Year: _________
❑ part-time
❑ Summer
Year: _________
Check your application status online at
www.bloomu.edu/admissions
❑ full-time
Please check here if you are participating in the ACE program. ❑
Section I: Personal Data
Apply online at
www.bloomu.edu/admissions
or follow the instructions below:
(please print or type)
Instructions
Last Name ______________________________________________ Maiden________________________
First Name _______________________________________________ Middle________________________
Legal Street Address_____________________________________________________________________
City/Town_____________________________________ County__________________________________
State___________________________________________________________ Zip Code______________
❑ I certify that I am a legal, permanent resident of Pennsylvania
Country of Citizenship:
Daytime telephone ( _________ ) _____________________________
________________________
E-mail Address____________________________________________
(Resident aliens must submit
a copy of I-94 - Green Card)
Social Security Number______________________________________
Date of Birth_________________________Gender: ❑ Male ❑ Female
Person to be notified in emergency:
_______________________________________________________
Home telephone ( _________ ) _______________________________
Where did you hear about Bloomsburg University? (check all that apply)
❑ Radio ❑ TV
❑ Internet
❑ Billboard ❑ Stadium Display
❑ Friends/family
Other_______________
Have you ever visited Bloomsburg University? ❑
Yes ❑
No
If yes, when? ______________________________________________
Have you applied or attended Bloomsburg University before?
❑
Yes ❑
No If yes, when?________________________________
Have any of your relatives attended Bloomsburg University? If so,
please indicate ____________________________________________
Have you served in the U.S. Armed Forces?
❑ Yes, Active Duty
❑ Yes, Veteran ❑ No
If yes, when?______________________________________________
I plan to
live....
❑ On campus
❑ Off campus
❑ Commute from
home (permanent residence of
parent, spouse or self)
Note: Freshmen must reside on
campus or commute from home.
Transfer students should indicate
a housing preference, but campus
housing is not guaranteed for
transfer students. Contact the
Office of Residence Life for more
information 570-389-4089
Freshman applicants should submit the following:
 Completed, signed application form with $35
processing fee.
 Take the application form to your high school
principal, headmaster or guidance counselor. That
individual will complete Section II and submit
the entire application with an official high school
transcript to the Office of Admissions.
 GED (if applicable) from issuing source
(photocopy is acceptable)
 Official SAT or ACT score (from testing center or
official high school transcript)
Transfer applicants should submit:
 Completed, signed application form with $35
processing fee.
 Official high school transcript and SATs or GED,
official transcripts from each college or university
attended (must be sent directly by the issuing
source, i.e., Registrar to Admissions).
 Medical imaging applicants must submit all
official transcripts plus a photocopy of license
Readmit applications can be downloaded from
BU’s website at www.bloomu.edu/admissions.
International applicants should:
 Obtain the international student application
from www.bloomu.edu/international/admission
Bloomsburg University does not discriminate
on the basis of race, color, religion, sex, sexual
orientation, gender identity, age, national origin,
ancestry, disability, or veteran status in its
programs and activities as required by Title IX
of the Educational Amendments of 1972, the
Americans with Disabilities Act of 1990, Section
504 of the Rehabilitation Act of 1973, Title VII of
the Civil Rights Act of 1964, and other applicable
statutes and University policies.
Continue completing your application on the following pages. Be
sure to sign it on the last page.
Activities
Educational data
(please print or type)
Name of high school presently attending or last attended:
Check the appropriate space for high school
or previous college activities in which you
participated and indicate those activities in
which you plan to participate at Bloomsburg
University.
HS/ College
BU
______________________________________________________________ Phone: (_____) _____________
Address ________________________________________________________ County____________________
City____________________________________________________________ State________ Zip __________
When will/did you graduate? ___________________________ H.S. College Board code number_______________
I took: ❑ SAT ❑ ACT Month/Year ______/______ I plan to take ❑ SAT ❑ ACT Month/Year ______/______
1. dramatics
❑
❑
2. debate
❑
❑
3. choral groups
❑
❑
4. band
❑
❑
5. flag corps
❑
❑
6. orchestra
❑
❑
Program Description________________________________________ Program Code _________________
7. majorette
❑
❑
Program Description _______________________________________ Program Code _________________
8. yearbook
❑
❑
9. school paper
❑
❑
10. baseball
❑
❑
11. tennis
❑
❑
12. football
❑
❑
13. track
❑
❑
Program Description _______________________________________ Program Code _________________
14. basketball
❑
❑
List ALL colleges you have attended (last institution first):
15. cross country
❑
❑
A. Name:_________________________________________________________________________________
16. soccer
❑
❑
17. softball
❑
❑
18. wrestling
❑
❑
19. volleyball
❑
❑
Dates of attendance __________________________________________ CEEB Code______________________
20. swimming
❑
❑
C. Name:_________________________________________________________________________________
21. radio/TV
❑
❑
Dates of attendance __________________________________________ CEEB Code______________________
22. cheerleading
❑
❑
23. field hockey
❑
❑
24. lacrosse
❑ Luzerne County Community College
❑
❑
❑ Lehigh Carbon Community College
25. chess
❑
❑
❑ Dixon University Center —
­ Harrisburg
26. Army/Air Force ROTC
❑
❑
27. class officer
❑
❑
28. student government ❑
❑
29. social fraternity
❑
❑
30. honors
❑
❑
31. Hugh O’Brian Youth
❑
❑
If no, was the dismissal ❑ Academic ❑ Social Explain circumstances________________________________
32. Partnership student
❑
❑
_______________________________________________________________________________________
33. Upward Bound
❑
❑
34. Thos. Jefferson PACE
❑
❑
35. Make a Difference
❑
❑
36. Luzerne Articulation
❑
❑
37. Lehigh-Carbon Artic.
❑
❑
For freshman applicants only
From the Curriculum Codes section, indicate the area to which you seek admission. Select the two programs that
interest you most within the area that you designate and record your choices in the spaces provided. This information is
for planning and advisement purposes. It is not a guarantee that you will be permitted to enroll in one of these specific
programs.
Optional preprofessional advisement areas (must also select a major):
For transfer applicants only
From the Curriculum Codes section, indicate the area to which you seek admission.
Program Description________________________________________ Program Code _________________
Dates of attendance __________________________________________ CEEB Code______________________
B. Name:_________________________________________________________________________________
Please check the appropriate box if you are participating in one of the following education completion programs:
Are you now attending the institution listed on line A? ❑ Yes ❑ No
It is your responsibility to see that an official transcript from each of the above-named institutions, as well as your
high school transcript, is sent to the Bloomsburg University Admissions Office. To be considered official, transcripts
must be sent by issuing source, i.e., high school guidance office, college registrar, etc.
Are you eligible for readmission to the last college you attended? ❑ Yes ❑ No
For all applicants
Bloomsburg University is required by the U.S. Department of Education, Office of Civil Rights, to collect and
report information pertaining to ethnic backgrounds of applicants for admission. This information will not affect
the admissions decision. Mark an X in the boxes that apply to you:
What is your ethnicity?
❑ Hispanic or Latino ❑ Not Hispanic or Latino
What is your race? Mark one of more races to indicate what you consider yourself to be.
❑ White ❑ Black or African American
❑ Asian ❑ American Indian or Alaska Native
❑ Native Hawaiian or Other Pacific Islander Curriculum Codes
Turn to back page to sign your application;
high school counselor must complete section on back
College .......Program Description...........................................................................Program Code
College .......Program Description......................................................................... Program Code
UCOB ..........Undergraduate College of Business
UCOLA ........Undergraduate College of Liberal Arts, contd.
....................Bus Admin*Accounting BSBA .................................................................ACCTG-BSBA
....................Languages and Cultures*Russian BA .....................................................LNGCLTR-BA
....................Bus Admin*Finance BSBA ......................................................................FINAN-BSBA
....................Languages and Cultures*Spanish BA ..................................................... LNGCLTS-BA ....................Bus Admin*Info & Technology Management BSBA..................................ITM-BSBA ....................Mass Comm*Emergent Media BA...........................................................MCOMMEM-BA
....................Bus Admin*Management BSBA ..............................................................MGMNT-BSBA
....................Mass Comm*Journalism BA ...................................................................MCOMMJ-BA
....................Bus Admin*Marketing, Professional Selling ............................................MKSEL-BSBA
....................Mass Comm*Public Relations BA ...........................................................MCOMMPR-BA
....................Bus Admin*Supply Chain Management ..................................................MTSCM-BSBA
....................Mass Comm*Telecommunications BA ....................................................MCOMMTC-BA
....................Bus Admin*Marketing BSBA...................................................................MKTNG-BSBA ....................Music Education Cert K-12 BA ................................................................MUSICED-BA
....................PTE*Business Education (teaching business subjects at K-12 levels) ....PTEBUSED
....................Music Liberal Arts BA .............................................................................MUSICLA-BA
UCOED ........Undergraduate College of Education
....................Music*Audio Video Record BA ................................................................MUSICAV-BA
....................ASL/English Interpreting BS ....................................................................ASL-BS
....................Philosophy BA.........................................................................................PHIL-BA ....................PTE*Early Childhood (PK-4) ..................................................................PTEPK-4 ....................Political Science BA ................................................................................POLISCI-BA ....................PTE*Mid Level*Lang Arts (4-8) .............................................................PTEMLLANG ....................PTE*Mid Level*Math (4-8) ....................................................................PTEMLMATH
....................PTE*Mid Level*Science (4-8) ................................................................PTEMLSCI ....................Pol Sci*Legal Studies Opt BA .................................................................PSLSO-BA
....................Pre-Social Work ......................................................................................PRESOCWORK
....................Psychology BA ........................................................................................PSYCH-BA ....................PTE*Mid Level*Soc Studies(4-8) ...........................................................PTEMLSOCST ....................Sociology BA...........................................................................................SOC-BA
....................PTE*Sec Ed*Biology ..............................................................................PTESEBIO
....................Sociology BA*Applied .............................................................................SOCAS-BA ....................PTE*Sec Ed*Citizenship (History) ..........................................................PTESECIT
....................Theatre Arts*Design BA ..........................................................................THTARTD-BA
....................PTE*Sec Ed*Earth and Space Science ...................................................PTESEESS ....................Theatre Arts*Integrated BA.....................................................................THTARTI-BA
....................PTE*Secondary Ed*Chemistry ..............................................................PTESECHEM
....................Theatre Arts*Performance BA.................................................................THTARTP-BA
....................PTE*Secondary Ed*Comm .....................................................................PTESECOMM
....................Undeclared .............................................................................................UNDECLARED
....................PTE*Secondary Ed*English ....................................................................PTESEENG
UCOST ........Undergraduate College of Science & Technology
....................PTE*Secondary Ed*French.....................................................................PTESEFRE
....................Biology BA ..............................................................................................BIO-BA ....................PTE*Secondary Ed*German ...................................................................PTESEGER
....................Biology BA*Natural History.....................................................................BIONH-BA
....................PTE*Secondary Ed*Mathematics ...........................................................PTESEMATH ....................Biology BS ..............................................................................................BIO-BS
....................PTE*Secondary Ed*Physics ...............................................................PTESEPHYS ....................Biology*Environment Biology BS ............................................................BIOENV-BS
....................PTE*Secondary Ed*Spanish ..................................................................PTESESPA ....................Biology*Molecular Biology BS.................................................................BIOMOLE-BS
....................PTE*Spec Ed(K-8)/Early Child(PK-4)......................................................PTESEECK4 ....................Biology*Pre-Medical Science BS ............................................................BIOPMED-BS
....................PTE*Early Childhood (PK-4)/Deaf and HOH (PK-12) ...............................PTEPK4DHH
....................Chemistry BA .........................................................................................CHEM-BA
UCOLA ........Undergraduate College of Liberal Arts
....................Chemistry BS .........................................................................................CHEM-BS
....................Anthropology *Applied BA ......................................................................ANTAPP-BA ....................Chemistry*Biochemistry BS ...................................................................CHEMBIO-BS
....................Anthropology *General BA ......................................................................ANTGEN-BA ....................Chemistry*Nanotechnology BS...............................................................CHEMNAN-BS
....................Anthropology * Research BA...................................................................ANTRES-BA ....................Digitial Forensics BS ...............................................................................DIGFOR-BS ....................Art History BA .........................................................................................ARTHIST-BA ....................Computer Science BS .............................................................................COMPSCI-BS ....................Art Studio BA ..........................................................................................ARTSTU-BA ....................Electrical Engineering Technology BS ......................................................EETECH-BS ....................Art Studio BA*Drawing ...........................................................................ARTSTD-BA
....................Engineering Science 3+2........................................................................ENGSCI3+2
....................Art Studio BA*Fabric Design ...................................................................ARTSTFD-BA
....................Environ., Geograph. & Geolog.*Professional Geology BS .........................EGGSPG-BS
....................Art Studio BA*Graphic Print Design .......................................................ARTSTPD-BA
....................Environ., Geograph. & Geolog.*Environmental Geosci BS ........................EGGSENVGEO-BS
....................Art Studio BA* Graphic Web Design ........................................................ARTSTWD-BA
....................Environ., Geograph. & Geolog.*Geography & Planning BS .......................EGGSGEOPLAN-BS
....................Art Studio BA*Painting ...........................................................................ARTSTP-BA
...................Exercise Science BS ...............................................................................EXSCI-BS ....................Art Studio BA*Photography.....................................................................ARTSTPH-BA
....................Health Physics BS...................................................................................HLTHPHY-BS
....................Art Studio BA*Printmaking .....................................................................ARTSTPR-BA
....................Health Sciences*General BS ..................................................................HSGEN-BS
....................Art Studio BA*Sculpture .........................................................................ARTSTS-BA
....................Health Sciences*Medical Lab Science BS...............................................HSMLS-BS
....................Comm Studies*Interpersonal Comm BA .................................................COMSTIR-BA
....................Health Sci*Pre-Physician Assistant BS ..................................................HSPPA-BS
....................Comm Studies*Leadership & Public Advocacy BA ..................................COMSTLP-BA
....................Health Sci*Pre-Physical Therapy BS .......................................................HSPPT-BS
....................Comm Studies*Organizational Comm BA ...............................................COMSTOC-BA
....................Mathematics BA .....................................................................................MATH-BA
....................Criminal Justice BA.................................................................................CRIMJUS-BA
....................Mathematics Statistics BA......................................................................MATHSTA-BA
....................Economics*Business BA ........................................................................ECONBUS-BA
....................Mathematics BS ....................................................................................MATH-BS ....................Economics*General BA ..........................................................................ECONGEN-BA
....................Medical Imaging BS ................................................................................MEDIM-BS ....................Economics*Political Economics BA ........................................................ECONPOL-BA
....................Nursing BSN ...........................................................................................NURS-BSN ....................English*Creative Writing BA ...................................................................ENGCW-BA
....................Physics BA .............................................................................................PHYSICS-BA ....................English*Literature BA .............................................................................ENGLIT-BA
....................Physics BS .............................................................................................PHYSICS-BS ....................History BA ..............................................................................................HISTORY-BA
....................Science & Technology Undeclared ...........................................................STUNDECLAR ....................Interdisciplinary Studies BA*Advanced Studies ......................................INTERAS
....................Speech Path & Audiology BS ...................................................................SPPATH-BS ....................Interdisciplinary Studies BA*University Studies .....................................INTERUS
....................Technical Leadership BAS .......................................................................TECHLEA-BAS
....................Languages and Cultures*Arabic BA ........................................................LNGCLTA-BA
....................Languages and Cultures*Chinese BA .....................................................LNGCLTC-BA
....................Languages and Cultures*French BA .......................................................NGCLTF-BA ....................Languages and Cultures*German BA .....................................................LNGCLTG-BA (For students enrolled at Harrisburg Area Community College, Lehigh Carbon Community College,
Northampton Community College and Reading Area Community College only )
Frequently asked questions
All applicants: affidavit
How soon will I hear about my completed
application?
I certify the above statements are correct and that I have answered all applicable questions. I
understand that any falsification of the above information may invalidate my application. Further,
my signature indicates my approval for the Admissions Office to discuss information about my
application with the guidance personnel at my secondary school or college (if applicable)
Admissions reviews your application within
two to four weeks of its arrival, and notifies you by
regular mail of its decision. You may also check
your application status online at
www.bloomu.edu/admissions
How early can I apply for admission?
You can apply at any time, but applications
for the following fall begin to get consideration in
late September of what would be your senior year
in high school. We don’t ask students to take SAT
or ACT tests as juniors, but do require SAT or ACT
scores for consideration of application, so it’s a
good idea to take them early in the senior year.
What are your application deadlines?
We admit students on a rolling admission
basis, which means we review your completed
application as soon as we receive it. We will
notify you within two to four weeks of receiving a
completed application. We encourage you to apply
as early as possible. For some majors, applications
received past December 1 are considered late.
We also welcome applications from transfer
students in good standing, as well as international
and nontraditional students. Freshmen nursing
applicants must apply by Nov. 15 and transfer
nursing students by March 1.
When can I come for a visit?
Group presentations are held throughout each
week including many Saturdays and are followed by
a campus tour. Individual interviews can be made
based on availability.
Signature of applicant__________________________________________________Date____________
Signature of parent or legal guardian is required if applicant is under 18 years:
____________________________________________________________________Date____________
Section II - High School Summary
(to be completed by high school counselor)
The applicant should have
completed Section I.
Please complete Section II
and submit the entire application
and an official transcript of
secondary school work to:
Pertinent remarks about the candidate’s qualifications
and character are invited. Attach additional sheets, as
necessary.
Office of Admissions
104 Warren Student Services Center
Bloomsburg University
400 East Second Street
Bloomsburg, PA 17815-1301
*Please submit documentation to support candidacy.
This applicant is ❑
is not ❑ a candidate for the EOP
or ACT 101 program.*
Questions? Call (570) 389-4316.
Please register for a visit at
www.bloomu.edu/admissions.
Open House Programs: You can register after
September 1 online (www.bloomu.edu/admissions)
www.bloomu.edu
buadmiss@bloomu.edu
Name____________________________________________________________________________ Signature ______________________________________________________ Phone______________
Title___________________________________________________________ Date _______________