The University of North Carolina at Pembroke

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					                                                                 The University of North Carolina at Pembroke
                                                                               Undergraduate Admissions Application
     All Applicants
        I.     The application is to be completed in detail. Omission of any item will delay processing. Please type or print legibly in ink. Your failure to provide complete, accurate, and truthful
               information on this application will be grounds to deny or withdraw your admission, or dismiss you after enrollment.
       II.     Use the applicable code(s) to complete this application. When completed, return to UNCP, Office of Admissions, One University Drive, P.O. Box 1510,
               Pembroke, NC 28372-1510. For more information regarding the admissions process, call 910-521-6262 or 800-949-UNCP or fax us at 910-521-6497. E-mail us at admissions@uncp.edu
               or visit our Web page at http://www.uncp.edu/admissions.
      III.     Social Security numbers are optional and are used solely to help identify students' records within our information processing system.
      IV.      A 45.00 non-refundable fee must accompany this application.
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       V.      Submit the application prior to the following priority deadlines: July 15 - Fall Semester; December 1 - Spring Semester;
               May 15 - Summer I Session; and June 15 - Summer II Session.
      VI.      You can apply online if more convenient. Click on www.uncp.edu/admissions/apply/default/asp. Please print and mail the signature page.
     VII.      The Freshman Deadline for fall admissions is July 31.

     Supporting Documents
        I.     Transcripts
               Official transcripts of all previous academic work must be sent to the University. (To be official, a transcript must display the school seal and be mailed directly from the high school or college
               to the Office of Undergraduate Admissions.) Faxed copies will be accepted as official if received from the appropriate school.
       II.     Aptitude Tests
               All freshman class candidates must submit scores from either the College Board (SAT I) or the American College Testing Program (ACT). To request your official SAT I results, write to College
               Board, APT, Box 592, Princeton, NJ 08514. (See the application checklist for all of your required documents.)
     North Carolina Residency
         A. Under North Carolina law, bonafide legal residents (domiciliaries) of North Carolina are eligible for a lower tuition rate than non-residents. Copies of the applicable law and of implementing
             institutional regulations are available for inspection in the Sampson-Livermore Library and may be examined upon request. In essence, the controlling North Carolina statute (G.S. 116-143.1)
             requires that "to qualify for in-state tuition a legal resident must have maintained his domicile in North Carolina for at least 12 months immediately prior to his classification as a resident for
             tuition purposes." Neither a foreign national nor an alien admitted on a student visa is eligible for the in-state tuition rate. An alien holding a visa, which will permit permanent residence in
             United States is subject to the same considerations as a citizen. If residence is questionable, completion of an application for residency may be required. Determinations of residency
             for tuition, purposes are made based on a preponderance of the evidence relevant to intent to maintain permanent legal residence.
         B. Military members and dependents stationed in North Carolina may be eligible for an In-State Tuition Waiver. To be considered for this, the student must submit a military waiver form.
             Applicants may view or print the residency/waiver form at the following link: http://www.uncp.edu/admissions/undergraduate/residency/default.asp.

     International Students
               International students should request and complete the UNC Pembroke Undergraduate Application for International Students. Details regarding the completion and submission of applications
               for international students is contained within that document.

     Audit
               New students who plan to audit a course must complete an application in conjunction with a form indicating the approval of the appropriate professor(s) and Associate Vice Chancellor of
               Academic Affairs.
     Health Forms & Housing
               Prior to enrollment, all students registered for five or more semester hours must submit a completed health form to the Student Health Services office. This application for
               admission does not reserve a residence hall room. A Housing Application is available to accepted students at http://www.uncp.edu/housing/agreement.htm. Questions concerning housing
               should be directed to Housing and Residence Life Office at 910-775-4253.

                                                                                                                                                                                                                 1
                                                                                     Reference Codes
                                                               Use the appropriate codes to complete the application.

State Codes
AL Alabama                                                                                       English & Theatre                                Mathematics & Computer Science
AK Alaska                 Major Codes                                                     ENGE   English: English Education                CSC    Computer Science
AZ Arizona                                                                                ENG    English: English                          MAT    Mathematics
AR Arkansas                                                                               THE    Theatre                                   MATE   Mathematics Education
CA California                           American Indian Studies                           LESL   ESL Add-on                                ITC    Information Technology
CO Colorado                      AIS    American Indian Studies
CT Connecticut                                                                                   Interdisciplinary Studies                        Music
DE Delaware                             Art                                               BIS    Interdisciplinary Studies*                KEYI   Music Education: Keyboard Instrumental
DC District of Columbia         ART     Art                                                      * Only available to Applied               MUS    Music
FL Florida                     ARTE     Art Education (K-12)                                     Associate degree holders                  MUSB   Music: Elective Studies in Business
GA I Hawaii                                                                                                                                MUSI   Music Education: Instrumental
ID Idaho                                Biology                                                  Languages                                 MUSK   Music Education: Keyboard (Vocal)
IL Illinois                    BENV     Biology (Environmental Track)                     SPN    Spanish                                   MUST   Music: Musical Theatre
IN Indiana                       BIO    Biology                                           LSPN   Teacher Licensure in Spanish (K-12)       MUSV   Music Education: Vocal
IA Iowa                        BBOT     Biology (Botany Track)
KS Kansas                      BMOL     Biology (Molecular Track)                                Education                                        Nursing
KY Kentucky                     BTEC    Biotechnology                                     BKED   Birth-Kindergarten                        PREN   Pre-Nursing
LA Louisiana                   BZOO     Biology (Zoology Track)                           ELEM   Elementary Education: K-6                 NURS   Nursing (RN to BSN)
ME Maine                       BMED     Biology: Biomedical Emphasis                      MGLA   Middle Grades Education:
MD Maryland                    ENVB     Environmental Science                                    Language Arts                                    Philosophy & Religion
MA Massachusetts               MEDB     Biology: Medical Technologies                     MGMA   Middle Grades Education: Mathematics      P&R    Philosophy & Religion
MI Michigan                     SCEB    Science Education: Biology                        MGS    Middle Grades Education: Science
MN Minnesota                                                                              MGSS   Middle Grades Education: Social Studies          Political Science
MS Mississippi                          Business Administration                           SPED   Special Education                         INTS   Political Science: International Studies
MO Missouri                      ACC    Accounting                                        LPRK   Preschool Add-on                          PADM   Political Science: Public Administration
MT Montana                     BUSL     Online Business: Management                       LAIG   AIG Add-on                                PLAW   Political Science: Pre-Law
NE Nebraska                    ECON     Business Administration: Economics                                                                 PLS    Political Science
NV Nevada                         FIN   Business Administration: Finance                         Health, Physical Education & Recreation
NH New Hampshire                INTB    Business Administration: International Business   PATH   Athletic Training                                Psychology & Counseling
NJ New Jersey                    ITM    Business Administration: Information              EXPH   Exercise Physiology                       PSY    Psychology
NM New Mexico                           Technology                                        HLTP   Health Promotion
NY New York                     MGT     Business Administration: Management               PED    Physical Education (K-12)                        Sociology & Criminal Justice
NC North Carolina               MKT     Business Administration: Marketing                RECM   Recreation Management                     CRJ    Criminal Justice
ND North Dakota                                                                           SMGT   Sport Management                          SOC    Sociology
OH Ohio                                 Chemistry & Physics
OK Oklahoma                    APHY     Applied Physics                                          History                                          Social Work
OR Oregon                      CFOR     Forensic Track                                    AST    American Studies                          SWK    Social Work
PA Pennsylvania                CHEM     Chemistry (Professional Track)                    HST    History
RI Rhode Island                 CHM     Chemistry                                         SSE    History: Social Studies Education                Undecided
SC South Carolina              CMOL     Chemistry (Molecular Track)                                                                        UND    Undecided
SD South Dakota
                               ENVC     Environmental                                            Mass Communication
TN Tennessee
                               MEDC     Medical Technology                                MBRD   Mass Communication: Broadcasting
TX Texas
                                PREH    Pre-Health Profession                             MJRN   Mass Communication: Journalism
UT Utah
                               PHMC     Pre-Pharmacy                                      MPUB   Mass Communication: Public Relations
VT Vermont
                                SCEC    Science Education: Chemistry
VA Virginia
                                SCEE    Science Education: Earth Science
WA Washington
                                SCEP    Science Education: Physics
WI Wisconsin
WV West Virginia
WY Wyoming
TR Territories
UN Unknown (Military)
FR Foreign Countries




                                                                                                                                                                                             2
UNCP Undergraduate Admissions Application
*Note: The most up-to-date application is available through applying online at www.uncp.edu/admissions/apply/default.asp.

                                                                                                                 For Office Use Only             Date Received                                App. Fee
Entering Term:

_______Fall    _______Spring     _______ Summer 1     _______ Summer 2       Entering Year 20________

Entering Status:
______Freshman      ______Transfer     Adult Special: _____ Second Degree Seeking _____ Certification/Renewal _____ Enrichment/Non-Degree

Name _______________________________________________________________________________________________________________________________________                           SS# ____________________________
                                  Last Name                                   First                                                  Middle                                    Optional: For Id purposes only*

Mailing
Address_______________________________________________________________________________________________________________________________
                        Number                           Street                                                    P.O. Box Number
                           ______________________________________________________________________________________________________________________________________________________
                           City                                     County                                         State                       Zip Code(9 digits)
Permanent Address           _______________________________________________________________________________________________________________________
(if different from above)     Number                                Street                                                            P.O. Box Number

          ___________________________________________________________________________________________________________________________________________________________
                                City                                                  County                                             State                           Zip Code(9 digits)

Current Telephone# (______) _____________________________Work# (if applicable) (_______)______________________________Cell Phone# (_______) ________________________________

Email: ______________________________________________________________________________________

Gender: ______Male ______Female           Date of birth: _______________________________ Place of birth:_____________________________________

Citizenship: ______C=USA                   ______ R=Permanent resident alien               ______N=Non-immigrant alien       Country _______________________________

Are you Hispanic or Latino? _____yes _____no Select one or more of the following racial categories: _____ American Indian/Alaska Native ____________________________                     ______Asian
                                                                                                                 _____ Black or African American           (tribe)                       ______Native Hawaiian
                                                                                                                 _____ White                                                                    or Pacific Islander
                                                                                                                 _____Other
Major Code ________             Athletic Interest ____________________                 Artistic Interest ____________________            Other Interest ____________________

Military status:( indicate current status) place a           _______Active duty           ______National Guard _______Reservist ______Veteran            ______Dependent        ______Not applicable

List all high schools you have ever attended for any length of time, whether or not you have completed a term:
Name of High School                             City                        State                      Dates Attended                                   Year Graduated




Guidance counselor’s name: ___________________________________________________________________School telephone#___________________________________________________________________
                                                                                                                                                                                                                      3
Are you applying on the basis of an Adult High School Diploma or a GED Certificate? __________________________________________________________________________________

Have you taken the SAT/ACT? _____________________________ When will you take the SAT/ACT? _________________ month ____________year

Do you desire campus housing? _______ yes _______ no                                     Have you ever attended a college or university? ______ yes ______ no

Have you ever applied to The University of North Carolina at Pembroke? ________ If yes, when? ___________________________________________________________

Have you ever attended The University of North Carolina at Pembroke? ________        If yes, when? ________________________________________________________________________

How did you first learn about the University? (Please mark one ONLY)
____Billboard          ____Radio             ____Television      ____Cinema                 ____Magazine        ____College Fair       ____Friends

____Alumni            ____Counselor          ____Newspaper         ____Internet             ____Mail                       ____UNCP faculty or staff member             ____Other

*Disclosure of the applicant’s Social Security number is voluntary and is requested here by UNCP solely as an internal identifier for record-keeping accuracy. Please be aware that financial aid, employment and reporting of
tuition and related expenses for tax purposes cannot be processed without submission of a valid Social Security number.



List all colleges/universities you have ever attended for any length of time, whether or not you have completed a term (list most recent first).

Name of College/University                                                           City                                          State                  Dates Attended                                     Degrees and Year




Are your transcripts under another name?        __________yes __________no         List name_________________________________________________


                                                                                                                                                                                                                                 4
                                ****THIS SECTION IS TO BE COMPLETED BY ALL APPLICANTS*****
                                                   The following information is necessary to determine your residency for tuition purposes.


                     Are you a legal resident of North Carolina?     __________yes __________no                                                                                            Since what date? ________________________________________________________
                                                                                                                                                                                                          month/day/year


   Last address outside of North Carolina:                                                                                                                                          From                                                                                           To

                                                                                    Month/Day/Year                          Month/Day/Year	
  
   Your Address
   ______________________________________________________________________________________________________________________________________________________________________

   Father’s
   Address____________________________________________________________________________________________________________________________________________________________________

   Mother’s
   Address___________________________________________________________________________________________________________________________________________________________________

    Guardian’s Address (if applicable)
    _____________________________________________________________________________________________________________________________________________________
Father's name ____________________________________________________________________________________________________________________________________________________________________________
                                                      Occupation                                  College attended               Year graduated

Mother's name ___________________________________________________________________________________________________________________________________________________________________________
                                                     Occupation                                  College Attended                Year graduated

If your parents are divorced, in whose legal custody are/were you? _________________________________________________________________________________________________________________________________

Name of court-appointed guardian (if applicable)________________________________________________________________________________________________________________________________________________

Tuition Benefits Notice
North Carolina provides certain tuition benefits to spouses of North Carolina residents, active military members who are stationed in North Carolina, spouses and dependents of active duty military personnel stationed in North
Carolina, members of the North Carolina National Guard, and family members of deceased or disabled emergency workers.
If you believe you qualify for these benefits, you should contact the Office of Undergraduate Admissions for an appropriate form, or print a copy from this link:
http://www.uncp.edu/admissions/undergraduate/residency/default.asp.
When you have completed the appropriate form, please submit it to the Office of New Student Orientation & Residency.
The University of North Carolina at Pembroke, Office of New Student and Family Orientation, P.O. Box 1510,Pembroke, North Carolina 28372-1510. Phone: (910) 521-6662 Fax: (910) 775-4158

Personal Statement
In your own words, tell us why you want to attend The University of North Carolina at Pembroke. Include special academic, athletic, artistic and/or leadership interests. You are encouraged to use a separate sheet of paper if
necessary. Student resumes are welcome.




                                                                                                                                                                                                                                                                                        5
Campus Safety Questions

Your "yes" answer to one or more of the following questions will not necessarily preclude your being admitted. However, your failure to provide complete, accurate, and truthful information will be grounds to deny or
withdraw your admission, or to dismiss you after enrollment. Omission, blatant or accidental, will result in delayed processing of your application.

For the purpose of the following six questions, "crime" or "criminal charge" refers to any crime other than a traffic-related misdemeanor or an infraction. You must, however, include alcohol or drug offenses whether or not
they are traffic related.

   1. Have you been convicted of a crime? ______ yes ______ no
   2. Have you entered a plea of guilty, a plea of no contest, a plea of nolo contendere, or an Alford plea, or have you received a deferred prosecution or prayer for judgment continued, to a criminal charge?
      ______ yes ______ no
   3. Have you otherwise accepted responsibility for the commission of a crime? ______ yes ______ no
   4. Do you have any criminal charges pending against you? ______ yes ______ no
   5. Have you ever been expelled, dismissed, suspended, placed on probation, or otherwise subject to any disciplinary sanction by any school, college, or university? ______ yes ______ no
   6. If you have ever served in the military, did you receive any type of discharge other than an honorable discharge? ______ yes ______ no ______ currently serving ______ never served

If you answered "yes" to any of the six questions above, please explain the circumstances below (or on a separate sheet, if necessary).

___________________________________________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________________________________________

You must promptly notify the Undergraduate Admissions Office in writing of any criminal charge, any disposition of a criminal charge, or any school, college, or university disciplinary action against you, or any
type of military discharge other than an honorable discharge that occurs at any time after you submit this application. Your failure to do so will be grounds to deny or withdraw your admission, or to dismiss you
after enrollment. By signing this application, you are granting permission for a criminal background check if deemed necessary.

I UNDERSTAND THAT WITHHOLDING INFORMATION requested in this application or giving false information may make me ineligible for admission to/or continuation at The University of North Carolina
at Pembroke. With this in mind, I certify that the statements herein are correct and complete. I understand my failure to provide complete, accurate, and truthful information on this application will be grounds to deny or
withdraw my admission, or dismiss me after enrollment.

                          ____________________________________________________________________                            _________________________________________________________________
                              Signature                                              Date                                              Parent or Guardian’s signature              Date
                                                                                                                                  (If applicant is under 18 years of age)

           	
  

                          A $45.00 non-refundable application fee must accompany the application. Please return to:                              The University of North Carolina at Pembroke
                                                                                                                                                 Office of Undergraduate Admissions
                                                                                                                                                 PO Box1510
                                                                                                                                                 Pembroke, NC 28372



The University of North Carolina is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees based on color, national origin, religion, sex, age, or handicap.
Moreover, The University of North Carolina at Pembroke is open to all people of all races.
                                                                                                                	
                                                                                                               6

                                                                                                                   	
  
                                                                                         Application Checklists
                                                                       Determine your appropriate category and submit all required documents for that category:

                     For Freshmen                                                                                             	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  For Transfer Students
        _______ Completed UNCP application                                                                                    ______ Completed UNCP application
        _______ U.S. $45 non-refundable application fee                                                                       _______ U.S. $45 non-refundable application fee
        _______ Official high school transcript(s)                                                                            _______ Official High school transcript(s)
        _______ SAT/ACT scores with writing                                                                                   _______ Transcripts from ALL institution(s) attended
        THE DEADLINE FOR FALL FRESHMAN ADMISSION IS JULY 31                                                                   _______ Completed University Questionnaire (last page)
                                                                                                                              	
  
        	
  
     For Adult Special Students: Enrichment/Non-Degree, Non-Traditional (freshmen over 24 years)
     _______ Completed UNCP application          _______ U.S. $45 non-refundable application fee _______ High school transcript(s)


     For Adult Special Students: Second Degree Seeking, Teacher Certification
on   _______ Completed UNCP application       _______ U.S. $45 non-refundable application fee _______ Transcript from institution with Bachelors posted



                      For Transient Students                                                                             For International Students
                      Please download and print the transient student application from:                                  Please download and print the international application from:
                      (http://www.uncp.edu/admissions/undergraduate/pdf/transient_application.pdf.                       (http://www.uncp.edu/admissions/undergraduate/international.asp.)
                      You may also request an Transient Student Application by calling                                   You may also request an International Student Application by calling
                      1-800-949-UNCP or 910-521-6262 or by emailing admissions@uncp.edu.                                 1-800-949-UNCP or 910-521-6262 or by emailing admissions@uncp.edu.

                      Application Priority Deadlines                                                                     UNC Pembroke Codes:
                      Fall Semester . . . . . . . . . . . . . . . . . . . . . . . . . July 15                            SAT Code . . . . . . . . . . . . . . . . . . . . . . . . . . 5534
                      Spring Semester . . . . . . . . . . . . . . . . . . . December 1                                   ACT Code . . . . . . . . . . . . . . . . . . . . . . . . . . 3138
                      Summer 1 Session . . . . . . . . . . . . . . . . . . . . . May 15                                  FAFSA Code . . . . . . . . . . . . . . . . . . . . . 002954
                      Summer 2 Session . . . . . . . . . . . . . . . . . . . . June 15                                   TOEFL . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5534



     Please note: No financial aid award is made until:
     (1) the student is accepted to The University of North Carolina at Pembroke and
     (2) A Free Application for Federal Student Aid (FAFSA) form has been completed and processed.

                                                                                        Mail your completed application and required documents to:
                                                                                                The University of North Carolina at Pembroke
                                                                                                    Office of Undergraduate Admissions
                                                                                                            One University Drive
                                                                                                               P.O. Box 1510
                                                                                                        Pembroke, NC 28372-1510
                                                                                 	
  
      This publication is available in alternative formats upon request. Please contact Disability Support Service, DF Lowry Building, 910-521-6695                                                           7
                                                                      University Questionnaire
                                                                         (to be completed by transfer students only)

                           This questionnaire is to be completed by the last college/institution you attended. Complete the top section. The Dean of Students of that institution will
                                    complete the remainder and forward it to the Office of Undergraduate Admissions at The University of North Carolina at Pembroke.

Name ____________________________________________________________________________________________________________________ Date of Birth_____________________________________

Address _________________________________________________________________________City___________________________________________State ____________Zip________________________

College Attended ___________________________________________________________________________________________________________________________________________________________

Dates of Attendance ______________________________________________________________             to________________________________________________________________________________________


                    	
        I hereby request that you complete this questionnaire which is to be sent to the Office of Undergraduate Admissions. I authorize you to release
                                           the requested information and any other information you may have concerning me to the above mentioned university.

                                                  ____________________________________________________________________________________
                                                         Signature of Applicant                                        Date




To the Dean of Students:
The student listed above is making application for admission to The University of North Carolina at Pembroke. In addition to the requested
information, we would be grateful for any other information you have which you believe may be helpful to us when the application is reviewed.

1. Has the student been disciplined, placed on probation or suspended for (a.)academic reasons__________ (b.)conduct reasons __________ (c.)other reasons __________
If your answer to a, b, or c is yes, please explain. _______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________

2. Would the student be permitted to re-enter your institution next semester/quarter? Yes_____________ No _____________

If no, please specify the reasons. ____________________________________________________________________________________________________________________________

Other comments: _____________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________

                                                                                       Please Print or Type:
Return this questionnaire to:

The University of North Carolina at Pembroke                                           Name_______________________________________________________

Office of Undergraduate Admissions                                                     Signature____________________________________________________
P.O. Box 1510                                                                          Position/Title_________________________________________________

Pembroke, NC 28372                                                                     Date__________________________ Phone_________________________

Fax: 910-521-6497                                                                      Email_______________________________________________________
                                                                                                                                                                                            8

				
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