Please use Internet Explorer to view and fill out this application!

 
First name: * Middle name: Last name: * Jr., III, etc.
 
Date of Birth:*       Month:                Day:   
          		              Year: 
               		 
       
             
               
City of Birth: (Do not include state or country) *
 
Mother's Maiden Name: (Last name only) *

 
Nation of citizenship *
Citizenship Code: *
For which term, in which year, do you seek admission? * *Year:
Select the FAU campus you wish to attend:
(less than 60 hours must attend the Boca Raton Campus,
except for the Honors College)
This application is for enrollment as: *
   
Please select the option which reflects how many semester hours of college credit you will have at the time you enter this institution:*  
 
Major: *
Specialization within major:  
Is your enrollment dependent upon receipt of an assistantship or fellowship?* Yes No
Would you like to request special admission consideration based upon a disability? Yes No
Are you currently enrolled at this institution? * Yes No
Will you attend full time or part time?* Full Time Part Time
 
College of Education Applicants ONLY (If you are not sure please contact your prospective graduate program.)
Do you require Certification? Yes No    
If you have previously submitted an application to this institution, please enter the month and year of the term that you applied for.
Year:
 
If you have previously attended this institution, please indicate the date that you started and the last date you attended.
From: Year:
To: Year:
 
Names of your immediate family members who have attended this university.
First Name Middle Name Last name Relationship
 
 
Note: Required fields are denoted by an *.  
U.S. Social Security Number (without dashes): *
If you do not have a SSN, please enter all 0's.
   
 
If your transcripts, test scores, etc. might arrive under any name(s) other than those listed above, enter here:
 
  First:
 Middle:
 Last:
 
 
   
Nation of citizenship *            
Citizenship Code: *            
Gender: *  Male Female  
 
Race/national origin. (Each SUS institution is a recipient of federal dollars and is required by the federal government to solicit certain demographic information to meet federal reporting requirements. Applicants are requested to provide race/national origin information voluntarily. This information will not be used in a discriminatory manner.)
   
Primary language:*  
Are you an active duty service member? Yes No
 
Are you a veteran of the U.S. Military? Yes No  
 
Permanent mailing address:
Street: *
.
City: *
County: *
State: *
Zip code: *
State or province (non-U.S.):
Nation:*
Email address:*  
  Area Code    
Evening phone:*
-
Daytime phone:
-
Fax:
-
 
Local mailing address
 
Street:
.
City:
County:
State:
Zip code:
State or province (non-U.S.):
Nation:
  Area Code    
Evening phone:
-
Daytime phone:
-
Fax:
-
 
In case of emergency, indicate the person you request the school to contact.
Last name:*
First name:*
Middle:
  Area Code      
Evening phone:*
-
Daytime phone:
-
Fax:
-
Relationship:*
 
Street:*
.
City:*
County: *
State: *
Zip code:*
State or province (non-U.S.):
Nation:*
Occupational or Professional Experience After Graduation From College:
Indicate how you spent or how you plan to spend all the time from graduation until the beginning of the anticipated term of enrollment.

 
 
Position 1:  
  City:
Beginning: Year Ending Year  


 
 
Position 2:  
  City:
Beginning: Year Ending Year  


 
Position 3:  
  City:
Beginning: Year Ending Year  

An official transcript from each post-secondary school, college, or university you have attended must be provided.
 
  • List first the institution from which you received your highest degree.
  • Include the institution to which you are applying if you attended it previously.
  • For multi-campus institutions, indicate the specific campus.
  • For dates of attendance (including present enrollment), enter dates attended and degrees earned or expected before attending the institution to which you are applying. Include Associate Degrees, certificates, or diplomas.
  • Failure to list all institutions could result in your application being denied or your admission being rescinded.
  • Please do not abbreviate.
 
School 1 FICE Code:
Please fill-in the school's address, if the FICE code is unknown

 
Name:
City:
State:
State or province (non-U.S.):
Nation:

 
Dates of attendance:
From: Year:
To: Year:
Degree:  
Date obtained: Degree date: Year:
Credit hours earned/expected:  
Enter undergraduate upper-level GPA or graduate GPA
(Master's or higher degree) use degree work only:
Enter 0 for non-U.S. institutions or those that do not use a 4.0 grading scale.
Are you eligible to return to this institution? Yes No
 
School 2 FICE Code:
Please fill-in the school's address, if the FICE code is unknown

 
Name:
City:
State:
State or province (non-U.S.):
Nation:

 
Dates of attendance:
From: Year:
To: Year:
Degree:  
Date obtained: Degree date: Year:
Credit hours earned/expected:  
Enter undergraduate upper-level GPA or graduate GPA
(Master's or higher degree) use degree work only:
Enter 0 for non-U.S. institutions or those that do not use a 4.0 grading scale.
Are you eligible to return to this institution? Yes No
 
School 3 FICE Code:
Please fill-in the school's address, if the FICE code is unknown

 
Name:
City:
State:
State or province (non-U.S.):
Nation:

 
Dates of attendance:
From: Year:
To: Year:
Degree:  
Date obtained: Degree date: Year:
Credit hours earned/expected:  
Enter undergraduate upper-level GPA or graduate GPA
(Master's or higher degree) use degree work only:
Enter 0 for non-U.S. institutions or those that do not use a 4.0 grading scale.
Are you eligible to return to this institution? Yes No
 
School 4 FICE Code:
Please fill-in the school's address, if the FICE code is unknown

 
Name:
City:
State:
State or province (non-U.S.):
Nation:

 
Dates of attendance:
From: Year:
To: Year:
Degree:  
Date obtained: Degree date: Year:
Credit hours earned/expected:  
Enter undergraduate upper-level GPA or graduate GPA
(Master's or higher degree) use degree work only:
Enter 0 for non-U.S. institutions or those that do not use a 4.0 grading scale.
Are you eligible to return to this institution? Yes No

 
If you have taken or plan to take any of the following tests, enter the month and year. Official records of all test scores must be provided.  
Test Type Subject Month Year Test
Score
 
Failure to answer both questions will delay processing of your application.
If your answer to either of the following is yes, you must provide a full explanation. In the text area below, state the circumstances of the disciplinary problems. Please be concise. You are limited to 210 characters. If you exceed this limit you will be asked to edit your response down to 210 characters. This information will not necessarily exclude you for admission, will be handled confidentially and will permit counseling assistance to be offered by the institution.


 
   Yes No * Are you currently, or have you ever been, charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution?

 
Explanation of disciplinary problems.
 
 
   Yes No * Have you ever been charged with a violation of the law which resulted in, or, if still pending could result in, probation, community service, a jail sentence, the revocation or suspension of your driver's license (including traffic violations which resulted in a fine of $200 or more)?
 
Explanation of legal violation problems.
 
If your records have been expunged pursuant to applicable law, you are not required to answer yes to these questions. If you are unsure whether you should answer yes to either question, we strongly suggest that you answer yes and fully disclose all incidents. By doing so, you can avoid any risk of disciplinary action or revocation of an offer of admission.

If you are not claiming Florida residency for tuition purposes, click the button in the "Non-Florida Residents" section near the top of the page. If you are claiming Florida residency, fill out the fields on this page and click the button at the bottom of the page.

If pages exceed the width of your browser, you may find it useful to temporarily reduce the size of your fonts. In Netscape, press ctrl [ to reduce font size and ctrl ] to increase. Internet Explorer users should click on View->Text Size and select the appropriate choice. If you use another browser or if you need more information, consult your browser's documentation.
Information for Residency Classification
  • A Florida "resident for tuition purposes" is a person who has, or a dependent person whose parent or legal guardian has, established and maintained legal residency in Florida for at least twelve months preceding the first day of classes of the term for which Florida residency is sought.
  • Residence in Florida must be as a bonafide domicile rather than for the purpose of maintaining a residence incident to enrollment at an institution of higher education.
  • To qualify as a Florida resident for tuition purposes, you must be a U.S. citizen, permanent resident alien, or legal alien granted indefinite stay by the U.S. Citizenship and Immigration Services. Other persons not meeting the twelve-month legal residence requirement may be classified as Florida residents for tuition purposes only if they fall within one of the limited special categories authorized by the Florida Legislature and State Board of Education. All other persons are ineligible for classification as a Florida "resident for tuition purposes".
  • Living in or attending school in Florida will not, in itself, establish legal residence. Students who depend on out-of-state parents for support are presumed to be legal residents of the same state as their parents.
Non-Florida Residents
I understand that I do not qualify as a Florida resident for tuition purposes for the term to which I have applied. I also understand that if I should qualify for Florida residency in some future term, I must file the required documentation prior to the beginning of that term.

 
I am NOT claiming Florida residency.
 
Florida Residents
 
This section must be completed in full if you claim Florida residency for tuition purposes.
  • Please mail required copies to the admissions office of the institution to which you are applying.
  • A copy of your and/or your parents' most recent tax return or other documentation may be requested to establish dependence/independence.
    • Dependent: a person for whom 50% or more of his/her support is provided by another as defined by the Internal Revenue Service.
    • Independent: a person who provided more than 50% of his/her own support.
  • A copy of the marriage certificate is required in all cases of spouse claiming partner's residency.
 
A. I am an independent person and have maintained legal residence in Florida for at least 12 months.
B.I am a dependent person and my parent or legal guardian has maintained legal residence in Florida for at least 12 months.
C. I am a dependent person who has resided for five years with an adult relative other than my parent or legal guardian, and my relative has maintained legal residence in Florida for at least 12 months. (Required: Copy of most recent tax return on which you were claimed as a dependent, or other proof of dependency.)
D. I am married to a person who has maintained legal residence in Florida for at least 12 months. I have now established legal residence and intend to make Florida my permanent home. (Required: Copy of marriage certificate, claimant's voter registration, driver license and vehicle registration.)
E. I was previously enrolled at a Florida state institution and classified as a Florida resident for tuition purposes. I abandoned my Florida domicile less than 12 months ago and am now re-establishing Florida legal residence.
F. According to U.S. Citizenship and Immigration Services, I am a permanent resident alien or other legal alien granted indefinite stay and have maintained a domicile in Florida for at least 12 months.(Required: USCIS documentation and proof of Florida residency status.)
G. I am a member of the Armed Services of the United States and I am stationed in Florida on active military duty pursuant to military orders, or whose home of record is Florida, or I am a member's spouse or dependent child. (Required: Copy of military orders or DD2058 showing home of record.)
H. I am a full-time instructional or administrative employee employed by a Florida public school, community college or institution of higher education, or I am the employee's spouse or dependent child. (Required: Copy of employment verification.)
I. I am part of the Latin American/Caribbean Scholarship Program. (Required: Copy of scholarship papers.)
J. I am a qualified beneficiary under the terms of the Florida Prepaid College Program (s. 1009.988, F.S.) (Required: copy of Florida pre-paid recipient card.)
K. I am living on the Isthmus of Panama and have completed 12 consecutive months of college work at the F.S.U. Panama Canal Branch, or I am the student's spouse or dependent child. (Required: Copy of marriage certificate or proof of dependency.)
L. I am a Southern Regional Education Board's Academic Common Market graduate student. (Required: Certification letter from State Coordinator.)
M. I am a full-time employee of a state agency or political subdivision of the state whose student fees are paid by the state agency or political subdivision for the purpose of job-related law enforcement or corrections training.
N. I am a McKnight Fellowship recipient. (Required: Verification from graduate studies.)
O. I am an active member of the Florida National Guard who qualifies under s.250.10 (7) and (8) for the tuition assistance program.
P. I am an active duty member (or the spouse/dependent child of the member) of the Armed Services of the United States attending a public community college or university within 50 miles of the military establishment where the member is stationed, if such military establishment is within a county contiguous to Florida.
Q. I am an active duty member (or the spouse or dependent child of the member) of the Canadian military residing or stationed in this state under the North American Air Defense (NORAD) agreement, attending a public community college or university within 50 miles of the military establishment where the active duty member is stationed.
R. I am a U.S. Citizen living outside the U.S. who is teaching at a Department of Defense Dependent School or in an American International School and who has enrolled in a graduate level education program which leads to a Florida teaching certificate.
S. I am an active duty member (or spouse/dependent child of the member) of a foreign nation's military who is serving as a liaison officer. I am residing or stationed in Florida and attending a community college or state university within 50 miles of the military establishment where I am stationed.
Person claiming residency must complete this section in full.
  • Documents supporting the establishment of legal residence must be dated, issued, or filed 12 months before the start of the term. All documentation is subject to verification.
  • Additional documentation may be requested.
 
Name of person claiming Florida residency:
 
 
Last:*
First:*
Middle:
Relationship:*
Street:*
 
City:*
State:*
Zip code:*
 
  Area code
Phone number:*
 
Date claimant began establishing legal Florida residence and domicile: *  
Day: Year:  
 

Enter claimant's information. Indicate 'Not applicable' in the State drop down list if the claimant area does not apply.

Claimant's voter's registration:
State:* Number: County:  
 
Issue date: Day: Year:
Claimant's driver's license:
State:* Number:  
 
Issue date: Day: Year:
 
Claimant's vehicle registration:
State:* Number:
 
Issue date: Day: Year:
 
Non-U.S. citizen only: Mail copy of both sides of card along with information requested above.
Resident alien number:
 
Issue date: Day: Year:
 
I do hereby swear or affirm that the above named student meets all requirements indicated in the checked category above for classification as a Florida resident for tuition purposes. I understand that a false statement in this affidavit will subject me to penalties for making a false statement pursuant to 837.06, Florida Statutes.