Anna Maria Quick Application Form

Thank you for your interest in applying to Assumption University. Please fill out the form below.

* denotes a required field

Personal Information

First Name*

Preferred Name

Middle Name

Last Name*

Birthdate*

Social Security Number (only enter numbers without dashes)

Email Address*

Mailing Address*

Country

Street

City

Region

Postal Code

Permanent Address*

Same as Mailing Address*

Country

Street

City

Region

Postal Code

Home Phone

Mobile Phone*

Can we keep in touch by text? We’ll send helpful application updates, event reminders, and next steps right to your phone*

Yes

No

Legal Sex*

Primary Citizenship*

Dual Citizenship

Are you a permanant resident?

Yes

No

What is your first language?*

Preferred Residence*

Do you intend to pursue need-based financial aid?*

Academic Information

Student Type*

Most Recent School Attended*

Most Recent School Attended CEEB

Dates Attended*

to

Anticipated Start Term*

What is your academic interest?*

Are you applying into one of the following nursing or dual degree programs?*
*Please note, only students with 30 or fewer college credits are eligible for any of the BA/MA or BA/MBA dual degree programs

Additional Information

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.*

Yes

No

Please give the approximate date(s) of each incident, explain the circumstances and reflect on what you learned from the experience.*

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? *Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.

Yes

No

Please provide the details of your criminal conviction or adjudication and reflect on what you learned from the experience.*

Upload College Transcript

Please upload a copy of your college transcript. Unofficial copies will be accepted.*