ࡱ> 685g 9bjbjVV 4(r<r<9(((((<<<<,h<.uuuY[[[[[[$(uuuuu((u.((YuYQjE0H ZHH(uuuuuuugZuuuuuuuHuuuuuuuuu : FRANCISCAN UNIVERSITY OF STEUBENVILLE TRANSIENT APPLICATION Students who wish to attend classes at of Steubenville, but remain enrolled at their present college or university are eligible to apply as a transient student using this form. Transient students must have a cumulative GPA of a 2.2 or higher at their present institution. After completing this form, it must be signed by the appropriate official at the enrolled college or university indicating approval. Once this completed form is received by FUS, the student will be registered for the desired class(es), as space is available, and a copy of the schedule will be mailed to the student. Please complete a separate application for each semester of interest. Name (Please print) Last___________________________First_____________________Middle_______________________ Address ______________________________________________________________________________________ Street City State Zip Cell or home phone ________________________ Email _________________________ SS#_________________ Federal law requires that gather the following information regarding the ethnicity and race of its students. The law only requires educational institutions to report aggregate totals for each category. Therefore, will never report information on individuals. We will keep your individual information strictly confidential. This information is for statistical purposes only and will not be used in the admissions decision. Are you of Hispanic or Latino descent? (Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture) __Yes __No What is your race? (Select one or more) __American Indian or Alaskan Native __Asian __Black or African American __Native Hawaiian or Other Pacific Islander __White Are you a U.S. citizen? __Yes __No If not a U.S. citizen, of what country are you a citizen? ___________________________ Have you previously attended ? _________If yes, please indicate semester: ________ I wish to enroll as a transient student for the (check one): ______ Fall Semester 20__ _____ Spring Semester 20__ _____ Mini Summer 20__ ______ First Summer 20__ _____ Second Summer 20__ I plan to register for the following courses at of Steubenville: (For a list of course offerings, go to  HYPERLINK "https://myfranciscan.franciscan.edu/ics" https://myfranciscan.franciscan.edu/ics; click on course search and choose the semester) Dept # Description Credits Time _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________ Date ________________ Signature _________________________________________________ This is to certify that the above named student is granted permission to enroll at of Steubenville. _____________________________________ ______________________________________________________ Name of college or university Address ______________________________________ ______________ _______________ Signature & Title of College/University Official Students cumulative GPA Date Return to: of Steubenville, Admissions Office, 1235 University Blvd. Steubenville, OH 43952 Revised 12/2012 %7Nabn+      + 7 > @ c t u w x       Ծ߾ɾ߾߾߾߾߾ɾ߾}hfCJaJhqIhxOCJaJhJGhxO5CJaJh 56hqIh(CJaJhqIh.CJaJh-SCJaJhqIh 56CJaJhqIhCJaJhqIhxOCJaJhqIhZCJaJhxOhf hf5hy%hxO518Nb   p q GHG|}N &dP]^`N gd>@a&dP]^gd4 ]^gd 56 $]^a$ ' * . 8 9 I N c i    , : ? 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