quinnipiac university Application form
Please fill out the application in full, in English, with CAPITAL letters.
A Personal Details
Legal name (enter name exactly as it appears on passport or other official documents)
Permanent home address:
Family name(s):
Given name(s):
Gender:
Male
Female
Date of birth (mm/dd/yyyy):
Correspondence address (if different):
Country of birth:
Country of citizenship:
Home phone number:
Mobile or US phone number:
Email address:
Indicate your status:
US citizen
Non-US citizen needing student visa for the USA
Do you hold a valid F-1 or J-1 visa?
Yes
No
Non-US citizen currently in the USA
Permanent resident, refugee, or asylum seeker
Years spent in the USA:
B parent / guardian details
Address:
Please complete this section of the form if student is under 18
Family name(s):
Given name(s):
Relationship to student:
Home phone number:
Mobile phone number:
Email address:
C academic interest
Level of study you are applying for:
Undergraduate (bachelor’s degree)
Graduate (master’s degree)
Preferred program or major:
Second choice program or major:
Which start date are you applying for?:
Fall / August
Spring / January
Year:
D Accommodation
Do you plan to apply for university housing?:
Yes
No
E Education history
Please list all secondary schools, colleges and universities you have attended, even if no degrees or certificates were completed (continue on a separate sheet if required). If you
are not currently enrolled in any academic classes, please indicate your activities since you were last enrolled. Please also provide information if you took a gap year.
Institution (name, city and country)
Start date
Graduation date
Qualification name
Average grade
Only answer the following questions if applying for a master’s degree:
Have you taken the GMAT?
Have you taken the GRE?
Yes - Date of test:
Yes - Date of test:
No
If no, do you plan to take the GMAT?
No
If no, do you plan to take the GRE?
Yes
Yes
No
No
F Language skills
English language tests: TOEFL, IELTS, Pearson PTE, and Kaplan iBT are acceptable as proof of English by Quinnipiac University.
TOEFL
IELTS
Speaking score:
Kaplan iBT
Pearson PTE
Listening score:
Date taken (mm/dd/yyyy):
Overall score:
Reading score:
Writing score:
Other language skills:
Native (first) language:
Global Pathways | Quinnipiac University
Please list any additional languages spoken:
www.global-pathways.com/quinnipiac
quinnipiac university Application form
Please fill out the application in full, in English, with CAPITAL letters.
G agent information
Do you have an educational agent?:
Yes (please provide details below)
No
Agent name:
City:
H recommendation letters
Recommendation letters must be submitted with your supporting documents. Please list the names and contact details of your recommenders below.
Quinnipiac University may contact your recommenders for additional information.
Undergraduate applicants: one letter of recommendation from a teacher or academic staff.
Graduate applicants: two professional or academic recommendations are required.
Recommender name
Email address
Phone number (incl. country code)
Position or title
I other required information
Have you ever been found responsible for a disciplinary violation at any secondary school or college / university you have attended, whether related to academic misconduct or
behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?:
Yes
No
Have you ever been convicted of a misdemeanor, felony, or other crime in any country?
Yes
No
If you answered yes to either or both questions, please give the approximate date of each incident and explain the circumstances on a separate sheet.
J declaration and agreement
I certify that all of the information provided by me or on my behalf in support of my application for admission is complete and accurate.
I acknowledge that I am obligated to supplement my application as soon as I know or reasonably should know that the information I have provided or that was provided on my
behalf is inaccurate or incomplete. I also certify that the personal statement submitted in support of my application for admission is solely my own original work. I acknowledge that
Quinnipiac University may, at its sole discretion, verify any information submitted in conjunction with my application.
I acknowledge that if I omit relevant information or provide inaccurate information or information that is misleading, submit a personal statement that is not solely my own original
work, or if I fail to supplement my application as required, Quinnipiac University may, at its sole discretion, deny my application for admission, rescind my admission, impose
disciplinary sanctions against me, dismiss me from Quinnipiac University, and/or rescind any degrees or certificates awarded to me by Quinnipiac University. Upon admission, I
agree to comply with all policies, practices, and procedures of Quinnipiac University.
Student signature:
Date (mm/dd/yyyy):
K complete application checklist
Proof of English language proficiency
Course-by-course credential evaluation (graduate applicants only)
fficial transcript(s) for all academic institutions attended: including secondary school and university, with supporting grade scale – submit a certified English translation if
O
transcripts are in another language.
Personal statement:
Undergraduate applicants: introduce yourself, as a person and as a student, to the university community. Explain why you want to study at Quinnipiac University (250 words).
Graduate applicants: discuss why you wish to pursue the master’s degree you have chosen and how a degree from Quinnipiac will assist you in your career goals (500 words).
Curriculum vitae / résumé:
Undergraduate applicants: if you are not currently attending school or college, summarize your activities, awards and achievements since you were last in education.
Graduate applicants: attach an up-to-date summary of relevant job experience and education. You may also include relevant activities, awards and interests.
Official SAT or ACT results if taken (undergraduate applicants only)
GMAT or GRE results if required (graduate applicants only)
Additional program-specific documentation (where applicable)
Letter of recommendation (two for graduate applicants)
Passport copy (including visa if already studying in the USA)
I-20 request form
Statement of financial support
Signed and dated application form
Give your completed application form with all supporting documents to our representative in your country or scan and email to: usprograms@kaplan.com
For support with your application, phone: +44 207 045 4925 (Global Pathways Admissions is a UK-based team)
If you are already based in the USA and need help with your application, phone: +1 212 346 1445
Global Pathways | Quinnipiac University
www.global-pathways.com/quinnipiac