THE NATIONAL HISPANIC UNIVERSITY Student Application. Re-Applying I have attended NHU and I m returning a period of 1 year or more

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1 V STUDENT STATUS First Time Credential/MA Freshmen I m I have a BA/BS and am attending college seeking a for the first time credential/certificate/ MA THE NATIONAL HISPANIC UNIVERSITY Student Application Transfer I have attended another college and have earned at least 12 semester units PERSONAL INFORMATION PART A Re-Applying I have attended NHU and I m returning a period of 1 year or more 1. Application type New Student Re-Applying NHU Graduate 2. When do you plan to enroll for classes? Indicate semester/year: Fall Spring Summer Year 3. Are you a veteran? Yes No 4. Full legal name Freshmen I have attended another college but have completed fewer than 12 semester units Cross Registration (SJSU) Translation & Interpretation Last Name First Name Middle Name Previous name used/ maiden name: 5. address (Please print clearly.) 6. Social security number 7. Date of birth (MM/DD/YY) 8. Place of birth (Country) 9. Permanent address (Please, no P.O. Box) Street Address Apartment # City State Zip Code 10. Mailing address (If different from permanent address) Street Address Apartment # City State Zip Code 11. Home phone number Alternate phone number Work Cell

2 PERSONAL INFORMATION PART B 12. What is the educational background of your parents? (Choose ONE per column) Mother Father Guardian M1 F1 G1 Less than High School M2 F2 G2 Some High School M3 F3 G3 High School Graduates M4 F4 G4 Technical Certificate M5 F5 G5 Some College M6 F6 G6 Associate s Degree M7 F7 G7 Bachelor s Degree M8 F8 G8 Masters Degree M9 F9 G9 Law Degree M10 F10 G10 Ph.D. / M.D. M11 F11 G11 Other: 13. Gender Male Female 14. Marital status Single Married Divorced 15. Number of dependents to 3 4 or more 16. Ethnic identity / origin (Please select only ONE) International Student (Student Visa Status) African American, Non-Hispanic American Indian/Alaska Native Asian/Pacific Islander Hispanic (Central American, Latino, South American Mexican, Mexican American, Chicano) White, Non-Hispanic Unknown Decline to state Two or more races 17. Estimated Family Income last year: Less than $10,000 $50,000-$70,000 $10,000-$30,000 $70,000-$90,000 $30,000-$50,000 $90,000 or more 18. If English is your second language, how many years have you spoken English? 3 years or less 4-7 years 8-11 years 12 years or more 19. Do you speak Spanish? Yes No If yes, rate your proficiency Beginner Intermediate Advanced Native 20. High School Math/ English courses. Highest Math Course taken in High School: Highest English Course taken in High School: Geometry English 1 Honors English Algebra 1 English 2 College Prep English Algebra 2 English 3 Other (specify below) Pre-Calculus English 4 Other (specify) 21. How did you first hear about the National Hispanic University? Check all that apply. College Fair Counselor/Adviser Direct Mailer Media (TV, Radio, Newspaper, Brochure) Friend/Relative NHU Event - Specify NHU Website/Internet Site Other- Specify Presentation/NHU Recruiter

3 ACADEMIC INFORMATION PART C 22. Major (Please indicate only ONE) AA/ A S P r o g r a m s Associate of Arts in Business Administration Associate of Arts in Child Dev. (Satisfies CTC requirements for early childhood and school-age certification.) Associate of Arts in Liberal Studies Associate of Science in Math & Science Associate of Science in Math & Science-Engineering Emphasis BA/ B S P r o g r a m s Bachelor of Arts in Business Administration Bachelor of Arts in Child Dev. -Early Intervention Emphasis Bachelor of Arts in Child Dev. -Early Biliteracy Dev Emphasis Bachelor of Arts in Child Dev. - School-Age Emphasis Bachelor of Arts in Liberal Studies: Credential Option -Prepares students who want to teach with the elementary subject matter preparation program. Cross Cultural Studies Child Development Chicano/Latino Studies General Option-Provides students with a general liberal arts program. Cross Cultural Studies Chicano/Latino Studies T e a c h e r E d u c a t i o n P r o g r a m s Students applying to the following credential program must have a BA/BS degree or equivalent. M.A. in Education- Teaching & Learning Emphasis Undergraduate Multiple Subject Cred. Option (Pending CTC approval) Multiple Subject Teaching Credential Multiple Subject Teaching Credential BCLAD Single Subject Teaching Credential Single Subject Teaching Credential-BCLAD Clear Teaching Credential Certificate in BCLAD Certificate in CTEL Mild to Moderate Level 1 Special Education Credential Mild to Moderate Level 1 Special Education Credential-BCLAD Added Authorization O t h e r P r o g r a m s Translation & Interpretation Certificate Undeclared Major 23. High School Name of School Graduation Date City State Country 24. Colleges Attended NOTE: You must submit OFFICIAL TRANSCRIPTS for EACH college listed in this section. Name of School Location (City, State, Country) Degree Earned/ Date Awarded (**Please attach a separate sheet for additional colleges.) I certify that the personal information given on the first two pages of the National Hispanic University Application is true to the best of my knowledge. I understand that all documents submitted in support of this application become the property of the National Hispanic University and cannot be returned, copied, or forwarded to a third party. Signature of Applicant Date Print your name

4 ADMISSION DOCUMENTS CHECK LIST NHU admission application A $50.00 non-refundable application fee Official high school transcript or an official GED test score Official college transcripts (if applicable) 2 letters of recommendation (for Teacher Credential students) Goal Statement Enrollment Agreement CBEST Scores recommended (for Teacher Credential students)

5 Guidelines for Writing Your Professional Goal Statement Directions: The following document contains information about your goal statement, which is a required part of your application to The National Hispanic University. Please focus only on the information requested about you, your background, and your future goals. You are strongly encouraged to carefully proofread, grammar check, and spell check your goal statement. Overall writing presentation and clarity are very important. This personal statement should be typed and be one page or more in length. Degree: You must clearly indicate which degree program and/or specialization you are applying to. Content: There are 4 sections described below. Please include the following information when preparing your goal statement. While not required, we strongly suggest that you format your goal statement by heading each section with the titles shown below and paragraph format for the content. Personal/Professional Goals o Why are you interested in college and what are your plans after you receive your degree? o What influenced you to choose your major? Academic Experience o Describe your previous academic experience. o Describe specific courses or professors / mentors who shaped your interest in furthering your education. o Explain any inconsistencies in academic record or work experience. If your GPA is lower than you would have liked, explain special personal, physical or family circumstances that may have adversely affected your GPA. Personal Qualities o Include in this section personal qualities (e.g., interpersonal skills, team work skills, etc.) you possess that you believe will contribute to your success at The National Hispanic University. Why NHU? o Indicate why The National Hispanic University would be a good match for you and your future goals.

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