Transfer Application - Office of Admissions and Financial Aid

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University of Pittsburgh
Transfer Application
Office Use
Fee paid

Fee W.

Complete 
For Undergraduate Admission and Financial Aid
Personal Data
1 Name
of your records are under a name other than the
2 Ifoneanygiven
above, please indicate
3 Occupation
(if applicable)
4 Permanent
Address
Last Name
First
Middle
Last Name
First
Position
(Area Code) Telephone Number
Student E-mail Address
5
Temporary
Mailing Address
Middle
Employed by
Street
Social Security Number
City
StateZip
(Area Code) Student Cell Phone Number
Parent/Guardian E-mail Address
Street
(Area Code) Parent Cell Phone Number
City
StateZip
(Area Code) Telephone Number
Until what date?
6
of Mother/Guardian
7 Name
(Circle one)
of Spouse
8 Name
(if married)
Members
9 Family
¨Father
Who Are Pitt Alumni
¨ U.S. Citizen
10 Student
Citizenship
¨Refugee
you a veteran of
11 Are
the U.S. armed services? ¨Yes ¨No
Name of Father/Guardian
(Circle one)
Last Name
First Middle Initial
Occupation
Employed By
Last Name
First Middle Initial
Occupation
Employed By
Last Name
First Middle Initial
Occupation
Employed By
¨Mother
¨Sibling
¨Spouse
¨ U.S. Immigrant/Permanent Resident Alien
¨Non-immigrant (Please do not use this application.)
¨Grandparent
you plan to use your own, parents’, or spouse’s military or veteran
12 Doeducational
¨Yes
benefits to pay for your education at the University?
¨No
Optional: Your responses to questions 13-15 are voluntary and will be kept confidential. Refusal to complete this information will not be used to deny access or
admission. The information will, however, assist the University in providing data to demonstrate compliance with federal regulations.
of
13 Date
Birth
Group:
15 Race/Ethnic
Please respond to both of the following questions.
a.
MonthDay
Year
14 Sex
¨Male
¨Female
Are you of Hispanic or Latino ethnicity (meaning a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin,
regardless of race)?
¨Yes
¨No
b.
Please select one or more race(s)/ethnicity(ies) from the following groups that you identify with:
¨ American Indian or Alaskan Native
¨ Black or African American
¨Asian
¨ Native Hawaiian or Other Pacific Islander
for
16 Applying
term beginning:
¨Fall (September)
¨Yes
you previously applied to
18 Have
the University of Pittsburgh?
¨No
¨Yes
you ever enrolled at
19 Have
the University of Pittsburgh?
¨No
¨Yes
you currently attending
20 Are
the University of Pittsburgh?
¨No
¨Spring (January)
If so, what school/campus,
term, and year?
If so, what school/campus,
term, and year?
If so, what school/campus,
term, and year?
¨Summer (May)
¨White
17 Year
beginning:
School/Campus
TermYear
School/Campus
TermYear
School/Campus
TermYear
Last Name
First
Middle
in which you desire to enroll:
21 School
(see next two pages)
Intended field of study:
(see next two pages)
field of study: If you are considering
22 Supplemental
earning a certificate, specify it here.
in chronological order every high school and post-secondary school you have attended (and plan on continuing to attend), the city, state, and
23 List
dates attended (attach an extra page, if needed).
School
City
State
From: MM/YY
To: MM/YY
School
City
State
From: MM/YY
To: MM/YY
School
City
State
From: MM/YY
To: MM/YY
School
City
State
From: MM/YY
To: MM/YY
¨Yes (see page 3)
you desire
24 DoUniversity
If no, check one:
housing?
¨No
25 County of Residence:
academic level
26 Atdo which
you plan to enroll?
¨Freshman
¨Sophomore
credit load
27 Expected
(to be filled out by part-time students only)
Fall term:
enrollment. Please list all courses you are taking and/or
28 Current
will take prior to your enrollment at the University of Pittsburgh.
Current Courses
Credit Hours
¨
¨Junior
Spring term:
Off-campus resident
¨Senior
¨
Fifth year
Summer term:
Courses to Be Taken
Total Credit Hours
Credits completed to date:
¨
Commute from parents’ home
Credit Hours
Total Credit Hours
Cumulative grade point average:
29 Check if you are interested in:
¨Debate
¨ Air Force ROTC
¨ Religious Interest or Affiliation:
¨Band (specify what instrument you play):
¨ Army ROTC
¨ Naval ROTC
30 Personal Essay
(Required.) I understand this application will not be complete until I have submitted my final, official high school transcript upon graduation and, if I
31 Signature
am a transfer applicant, all final, official post-secondary transcripts. I understand the University will prevent my registration and/or graduation from the University
should these documents not be provided.
Signature of applicant
The University of Pittsburgh is an affirmative action, equal opportunity institution.
Date
University of Pittsburgh, Pittsburgh Campus
Intended Field of Study (Question 21): Look over the list of possible fields of study, then write in the name of your intended field of
study or pre-professional interest.
Kenneth P. Dietrich
School of Arts and Sciences
Actuarial Mathematics
Africana Studies
Africana Studies—English
Anthropology
Architectural Studies
Arts and Sciences/Business Dual Major
Astronomy
Bioinformatics
Biological Sciences
Chemistry
Chinese
Classics
Communication Rhetoric and Communication
Computer Science
Ecology and Evolution (Biological Sciences)
Economics
Economics/Statistics
English Literature
English Writing
Environmental Geology
Environmental Studies
Film Studies
French
Geology
German
History
History and Philosophy of Science
History of Art and Architecture
Italian Language and Literature
Italian Studies
Japanese
Linguistics
Mathematical Biology
Mathematics
Mathematics, Applied
Mathematics—Economics
Microbiology (Biological Sciences)
Molecular Biology (Biological Sciences)
Music
Neuroscience
Philosophy
Physics
Physics and Astronomy
Political Science
Politics—Philosophy
Psychology
Religious Studies
Russian
Slavic Studies
Sociology
Spanish
Statistics
Studio Arts
Theatre Arts
Undecided Major
Urban Studies
Preprofessional Preparation in Arts and
Sciences
Below are sequences of required classes for professional or
graduate schools, not majors.
Pre-Administration of Justice
Pre-Allied Health Careers (including preparation for
graduate schools of chiropractic medicine, optometry,
podiatry, veterinary medicine, etc.)
Pre-Applied Developmental Psychology
Pre-Athletic Training
Pre-Clinical Dietetics and Nutrition
Pre-Communication Science (speech pathology and
audiology)
Pre-Dentistry
Pre-Education (pre-teacher certification, certification available at the fifth-year level only)
Pre-Emergency Medicine
Pre-Health and Physical Activity
Pre-Health Information Management
Pre-Information Sciences
Pre-Law
Pre-Legal Studies
Pre-Medicine
Pre-Occupational Therapy
Pre-Pharmacy (for transfer applicants who need to complete prerequisite courses in the Dietrich School of Arts
and Sciences)
Pre-Physical Therapy
Pre-Physician’s Assistant
Pre-Public Service
Pre-Rehabilitation Science
Pre-Social Work
College of Business Administration
CBA—Undeclared
Accounting
Business Information Systems
Finance
Global Management
Human Resources Management
Marketing
Supply Chain Management
Swanson School of Engineering
If you are enrolled in a 3/2 engineering program or a CCAC/
Pitt Transfer Articulation program, please note this at the top
of your application for admission.
Bioengineering
Chemical
Civil and Environmental
Computer
Electrical
Engineering/Arts and Sciences Joint Degree
Engineering Science
Engineering, Undecided
Industrial
Materials Science & Engineering
Mechanical
College of General Studies
Administration of Justice
Dental Hygiene (degree completion)
Health Services
Humanities
Legal Studies
Media and Professional Communications
Natural Sciences
Pre-Education
Pre-Health and Rehabilitation Sciences
Pre-Information Sciences
Pre-Pharmacy
Pre-Social Work
Public Service
Self-designed Major
Social Sciences
Undeclared
School of Nursing
Nursing
Upper-Level Division Schools and Supplemental Fields of Study:
College of Business
Administration Certificate
Programs
Upper-Level Division Schools
Supplemental Fields of Study
Students interested in the schools listed below transfer
at the junior year level. Students with fewer credits begin
their University studies in the Dietrich School of Arts and
Sciences taking prerequisite courses (look under PreProfessional Preparation in Arts and Sciences for a
list of intended fields of study).
The following are certificate, not degree programs. A certificate is a concentration of study that can complement a
major. If you think you may be interested in earning a certificate in one of the fields, below, please note it on Question
22. Note: your certificate typically needs to be in the same
school as your major.
School of Education
Dietrich School of Arts and Sciences
Certificate Programs
Swanson School of Engineering
Certificate Programs
American Sign Language
Arabic Language and Linguistics
Children’s Literature
Conceptual Foundations of Medicine
Geographic Information Systems
German Language
Jewish Studies
Medieval & Renaissance Studies
Photonics
Public and Professional Writing
Women, Gender, and Sexuality
Energy Resources Utilization
Engineering for Humanity
Health Systems Engineering
International Engineering Studies
Mining Engineering
Nuclear Engineering
Product Realization
Sustainability Engineering
Applied Developmental Psychology
Applied Developmental Psychology—CASE
Health and Physical Activity (Exercise Science, Wellness)
School of Health &
Rehabilitation Sciences
Athletic Training
Communication Science (Speech Pathology & Audiology)
Emergency Medicine
Health Information Management
Nutrition and Dietetics
Rehabilitation Science
School of Information Sciences
Information Sciences
School of Pharmacy
(Do not use this application, See page 5)
Pharmacy
School of Social Work
University Center for
International Studies
Certificate Programs
African Studies
Asian Studies
European Union Studies
Global Studies
Latin American Studies
Russian and East European Studies
West European Studies
Social Work
International Business
Leadership and Ethics
Supply Chain Management
College of General Studies
Certificate Programs
Accounting
Communication
Community Health Assessment
Corporate/Community Relations
Digital Media
Information System Design
Leadership
Managing Health Services Programs
National Preparedness and Homeland Security
Nonprofit Management
Women’s Studies
Writing for the Professions
The University of Pittsburgh, as an educational institution and as an employer, values equality of opportunity, human dignity, and racial/ethnic and cultural diversity.
Accordingly, as fully explained in Policy 07-01-03, the University prohibits and will not engage in discrimination or harassment on the basis of race, color, religion, national
origin, ancestry, sex, age, marital status, familial status, sexual orientation, gender identity and expression, genetic information, disability, or status as a veteran. The
University also prohibits and will not engage in retaliation against any person who makes a claim of discrimination or harassment or who provides information in such an
investigation. Further, the University will continue to take affirmative steps to support and advance these values consistent with the University’s mission. This policy applies
to admissions, employment, access to and treatment in University programs and activities. This is a commitment made by the University and is in accordance with federal,
state, and/or local laws and regulations.
For information on University equal opportunity and affirmative action programs, please contact: University of Pittsburgh, Office of Affirmative Action, Diversity and
Inclusion, Carol W. Mohamed, Director (and Title IX, 504 and ADA Coordinator), 412 Bellefield Hall, Pittsburgh, PA 15260 (412) 648-7860.
For complete details on the University’s Nondiscrimination Policy, please refer to Policy 07-01-03. For information on how to file a complaint under this Policy, please
refer to Procedure 07-01-03.
SAFETY AND SECURITY BROCHURE
As mandated by federal and state law, the University of Pittsburgh has published a
brochure that describes safety and security policies, procedures, and programs, as
well as campus crime statistics for the past three years. If you would like a copy, please
write to the address at right:
University of Pittsburgh
Mailing Services
Campus Safety Information
400 N. Lexington Avenue
Pittsburgh, PA 15260
Or, you can check the University of Pittsburgh’s most recent For
Safety’s Sake information online at:
www.safety.pitt.edu
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