You are on page 1of 6

Fayetteville, Arkansas 72701

Application for Admission
The University of Arkansas is committed to the policy of providing educational opportunities to all qualifed students regardless of their economic or social status and will not discriminate on the basis of race, color,
sex, creed, sexual orientation, disability, veteran status, age, marital or parental status, or national origin.
Rev. 08/08
to contact
in case of
Last Name:
First Name:
Phone: First Name: Last Name:
Appl #:
Offce Use Only
Paid Waived
Check CC Date:
I certify that all information given is complete and accurate. I further agree to inform the Offce of Graduate and International Recruitment and Admissions of any change in my plans
to attend the University of Arkansas. I understand that withholding information requested or giving false information may make me ineligible for admission and enrollment or subject to
withdrawal from classes.
SAT (Critical Reading + M)
Test Scores: Please have offcial scores sent
from the appropriate testing agency.
Date taken
Mo. / Yr.
UA institution code = 6866 for SAT, TOEFL & IELTS
TOEFL (composite)
IELTS (overall band)
Signature: Date:
(Required if applicant under of 18 years of age.)
Parents Signature: Date:
If you do not meet the English language profciency
requirement, are you interested in attending our intensive
English program before beginning academic coursework?
UA ID #:
(assigned by UA)
Email Address:
I am not required to register with the Selective Service because I will be on a nonimmigrant visa.
I understand that to be eligible for admission to the University of Arkansas, I must register, or be exempt from registration, with the Selective Service System in accordance with
the Military Selective Service Act, 50 U.S.C. Appx 451 et seq., as specifed in Act 228 of the 1997 Acts of the Arkansas General Assembly. I therefore swear or affrm under penalty
of perjury that:
Selective Service Exemption (All applicants must complete. This refers to registration for U.S. military service.)
Permanent Home Country Address:
Zip Code or Postal Code
Street Address
Street Address
State or Province
Current Mailing Address (if different from Permanent Address):
Month Day Year
Zip Code or Postal Code
Street Address
Street Address
State or Province
Native Language:
Type of Visa Requesting: F1 J1 None
Status (if currently in US): F1 J1 Other:
Country of
What infuenced you to apply?
College Fair Friends Website Overseas Advising Center
High School Counselor Other:
Are either of your parents
graduates of the University
of Arkansas?
Yes - Father
Yes - Mother
Yes - Both
Gender: Male Female
Please give us the name(s) of persons to whom confdential information and/or documents may be released. Information will not be
released to individuals not listed by you.
of Birth: of Birth:
of Birth:
Month Day Year
Former Name (if any):
Legal Name:
Middle Name (if any)
Last Name (Surname or Family Name)
First Name (Given Name)
New Freshman: University credit, if any, earned during high
school or summer immediately after high school graduation.
Transfer Freshman: Fewer than 24 transferable university
credits earned after high school graduation.
New Transfer Student: 24 or more transferable university
credits earned after high school graduation.
Returning Student: Previously enrolled at UA Fayetteville; no
university credits taken at another institution since last UA attendance.
Returning Transfer Student: Have taken university courses at
another institution since last UA Fayetteville attendance.
Fall (Aug. - Dec.) Semester:
Spring (Jan. - May)
Summer I (May - Jun.)
Summer II (Jul. - Aug.)
Are you seeking a degree?
Yes No
Desired Major (or Undecided):
Education History: List all high schools and colleges/universities attended. If currently attending, list the expected
completion date as the To Date in the Dates Attended section.
* Diploma or
certifcate received
or expecting
Dates Attended
City/Country month year month year
From To
Name of Institution
* Diploma, Leaving Certifcate, Senior Secondary Certifcate, Baccalaureat, GCE O-Levels, etc. If none received, write None.
Are you currently
enrolled at another
No Yes
If yes, list the institution name:
Offce of Graduate and International Recruitment and Admissions
346 N. Arkansas Avenue
1 University of Arkansas
Fayetteville, Arkansas 72701
1-479-575-6246 Toll Free: 1-866-234-3957 Fax: 1-479-575-5055
The University of Arkansas welcomes your application as the frst step to meeting you in person. We highly value our
international students and we pledge to offer you fast, friendly, and effcient service in the application and admission process.
Please take a minute to look over the application instructions. It is important to fll out all areas completely so that we can
properly evaluate your application materials. If you have any questions, please let us know.
International Student Application for Undergraduate Admission
Send your completed application for admission to the Offce of Graduate and International Recruitment and Admissions. Please
fll out the forms completely, including type of visa you are holding and/or requesting and permanent address in your home
country. A permanent home country address is required for the SEVIS (Student and Exchange Visitor Information
System) program.
A non-refundable $50 application fee should accompany your application if you are a new student. Please enclose a check
(drawn on a US bank) or money order payable to University of Arkansas for US $50.
Have your secondary school send an offcial transcript (translated and untranslated) showing work to date or a fnal
transcript and diploma (for students with less than one year of university-level credit).
Have offcial leaving exam results sent from examination authorities. l
Have offcial transcripts sent from post-secondary colleges or universities attended (transfer students). l
Have course descriptions or syllabi sent in English (transfer students). l
Complete and enclose the Supplemental and Financial Information and the Summary of Educational Experience forms.
Have parents or sponsors bank prepare verifcation of funding.
Send a photocopy of the name page in your passport. It is critical that your name in our records match your passport
Have ACT or SAT scores sent (required only for scholarship applicants and NCAA athletes). (SAT institution code = 6866;
ACT = 0144)
Have an offcial IELTS or TOEFL score report sent (our ETS institution code = 6866) if English is not your native language. l
Prepare and enclose your essay. l
Have a letter of recommendation sent from a teacher, counselor, or headmaster. l
A decision will be made upon the receipt of the above items. We will correspond with you as soon as we
have received your application. If your mailing or email address changes during the application process,
please let us know. See our brochure or website for additional information regarding any of the above.
Scholarships are highly competitive and consideration is available only for students planning to enter in Fall terms. If you wish to
be considered for academic scholarships, please note that you must have at least a 3.5 GPA on a 4.0 scale and very high SAT/
ACT scores. Scholarship consideration is not available for those students planning to enter in a Spring (January) term.
The deadline to apply for scholarships is February 1, but applying early is critical in order to have maximum consideration.
Scholarships are awarded only to students who have been admitted before the scholarship deadline. It is important to submit
your application for admission to the University, all supporting documents and offcial test scores (especially SAT) far in advance
of the scholarship deadline so that the admission decision can be made in a timely manner. You must apply separately for
scholarships by going to the Offce of Academic Scholarships website at
Scholarship applications are not held until February 1 to be reviewed all at the same time; they are awarded at periodic intervals
to qualifying candidates upon review and approval by the Scholarship Committee. Not all qualifying students who apply by
February 1 may be awarded a scholarship if funding runs out. If you are an outstanding student with high test scores and
excellent grades, we encourage you to apply early for admission and scholarships.
If you have U.S. Permanent Residency (green card), you will not apply using this application. Please contact the Offce
of Admissions, 232 Hunt Hall, U of A, Fayetteville, AR 72701, for a domestic student application packet.
Application Deadlines: Fall (August) Term - May 31 Spring (January) Term - October 1
Applicants with disabilities are encouraged to consult the Center for Educational Access at or
1-479-575-3104 (Tel.) prior to enrollment at the University of Arkansas.
c:\susan\graphics\edsum.pm6 Rev. 8/01
The University of Arkansas wishes to obtain a chronological record of your school attendance showing when you started school, how far you went, the kind of schools you attended, the
certificates you earned, the examinations you passed, and your graduation. You must complete columns 1 through 8 IN FULL to be considered for admission.
Applicant Name:
ID #:
Kind of School
(Elementary, Colegio, etc.)
Year in
Full Name of School School Address
(City and Country)
Language of
Certificates, Diplomas,
Degrees, Graduation
2 3 4 5 6 7 8
I hereby affirm that all information given on this form is accurate and complete to the best
of my knowledge. I also understand that further documentation may be required if certain
information given needs clarification and that any misrepresentation may be cause for
refusing admission.
See reverse side for instructions.
Column 1 On each line write the appropriate calendar year(s) for every year of school you attended, such as 1990, 1991-92, 1992-94, etc.
Column 2 Write your age. If you were 6 years old when you attended school for the first time, write 6 on the first line.
Write your age for each grade you attended.
Column 3 These are the actual years you attended school. Your first year in school is number 1, your second year is number 2, and so on.
You must account for every year. If you were out of school for a length of time, it must be noted.
Allow one line for each year.
Column 4 Write the kind of school you attended, such as Kindergarten, Elementary, Grundschule, Volkschule, Mittleschule, Gymnasium, Lycee, Colegio, Ecole
Superior, Secondary School, Grammar School, Teachers College, University, etc.
Use the terminology of the country where the school was located. Do not try to translate into American terminology (English).
Column 5 Enter the name of each school attended.
Column 6 Write the city, village, or town and country where each school you have attended is located.
Column 7 Write the language used in class by your teachers.
Column 8 Write the name of any examination(s) you passed or certificate(s) you obtained at the end of that school year. For example, if you completed secondary
school at the end of your twelfth year in school, write the name of the final document you received: GCE, Reifezeungis, Artium, Studentereksamen,
Bachillerato, Baccalaureat, etc.
Do not try to express the name of any document in terms of what you think the American equivalent is.
Certified translations into English of supporting documents from the secondary level and above must accompany this form.
7. Dependents: Do you have any dependents who will come with you to the U.S.? Yes No
If yes, list full information below for each dependent. You must show sufficient funds to cover your dependents expenses while in the U.S. Please see our
estimated expenses cost sheet at for additional amounts needed. Please enclose a copy of the name page in each
dependents passport.
Dependent information for SPOUSE:
_________________________________________________Date of Birth: _______________Place of birth________________________Gender F M
Surname First Middle Month/Day/Year City, Country
Dependent information for CHILDREN (if additional space is needed, please use other side of form or attach additional sheet of paper):
Name Date of Birth Place of birth
_______________________________________________ _________________________ ______________________________Gender F M
Surname First Middle Month/Day/Year City, Country
_______________________________________________ _________________________ ______________________________Gender F M
Surname First Middle Month/Day/Year City, Country
_______________________________________________ _________________________ ______________________________Gender F M
Surname First Middle Month/Day/Year City, Country
8. Sources and amounts of financial support (indicate amounts in U.S. dollars). Indicate the amount from each source below.
a. FROM SAVINGS OR PERSONAL FUNDS .....................................................................................................................................................$ _______________
(Enclose bank statement or letter signed by bank official. If not in English, the bank statement or letter must be accompanied by a translation.)
b. FROM FAMILY OR FRIENDS...........................................................................................................................................................................$ _______________
(Complete the affidavit of support on the back of this form and enclose a bank statement showing the availabilty of funds.)
c. SALARY WHILE ON LEAVE OF ABSENCE..................................................................................................................................................$ _______________
Name and location of employer (Enclose letter from employer.)______________________________________________
Name of sponsoring organization: ________________________________________________________________________
(Enclose the original form or official copy of your award as evidence of financial support. The statement of financial support
must be in English; it must specify the sponsoring organization, academic term(s), billing address, and level and field of study
for which it is valid. It must also specify the U.S. dollar amount you will receive and how the funds will be paid.)
e. FINANCIAL SUPPORT FROM THE UNIVERSITY OF ARKANSAS...........................................................................................................$ _______________
(You must apply separately for undergraduate scholarships at For graduate assistantship
consideration, you must apply directly to your academic department. If seeking undergraduate scholarships or graduate level
assistantships, please check here: . If you have been offered an athletic scholarship, please check here: .)
TOTAL SUPPORT FOR FIRST YEAR OF STUDY AT THE UNIVERSITY OF ARKANSAS................................................................................. $ _______________
(Total must equal or exceed current estimated total academic year expenses per our cost sheet at
Revised 11/12
6. If you are currently in the U.S., indicate your status:_______. If your status is F-1, F-2, J -1, or J -2, what is your SEVIS ID number (begins with the letter
N followed by 10 digits)? ____________________. If you are in F or J status in the U.S. you must attach a copy of your most recent I-20 or DS-2019.
If you need an F-1 or J -1 visa (or if you are in the United States and will continue your F-1 or J -1 nonimmigrant status), you are required to certify that you will have
adequate support for your programof study at the University of Arkansas. Full support for your first year must be guaranteed, and support for subsequent years must be
estimated. If you do not need to meet or maintain F-1 or J -1 status, you do not need to submit this form.
for International Students
Office of Graduate and International Recruitment and Admissions
346 N. Arkansas Avenue #50 1 University of Arkansas
Fayetteville, Arkansas 72701 USA
Tel: 1-479-575-6246 Fax: 1-479-575-5055
C:\Documents andSettings\Susan\MyDocuments\Admissions\PageMakerFiles\FINANCIAL INFO FORM.pmd
1. Name:_______________________________________________________________________________________________________________________
Last (Surname) or Family Name First Name MiddleName
2. Date of Birth: ___________________________________ Gender: Female Male Marital status: Single Married
Month Day Year
Number and Street Town/City Province/State Country Postal Code
3. City of Birth: ______________________________Country of Birth: __________________________Country of Citizenship:_____________________
4. Type of Immigration form desired: I-20 for F-1 Student Visa DS-2019 for J -1 Exchange Visa None
5. Mailing address:(Note: We will use this address to mail your I-20. We send U.S. airmail unless you request express mail. See below.)
For express mailing: The University of Arkansas uses the services of eShipGlobal for express mailing of your admission packet containing your immigra-
tion document (I-20 or DS-2019). This express mail service will allow you to receive your documents through DHL or FedEx, typically within 3-5 days.
When your I-20 or DS-2019 is issued, you will receive emailed instructions on how to select your shipping service and pay the mailing fee.
By signing my name to this form, I certify that all of the information I have given is true, and that it correctly represents the funds available to
me. These funds can and will be used to finance my academic and living expenses at the University of Arkansas.
________________________________________________________________________________ __________________________
Applicants Signature Date
C:\Documents andSettings\Susan\MyDocuments\Admissions\PageMakerFiles\FINANCIAL INFO FORM.pmd
Revised 11/12
9. Person(s) to whom confidential information and/or documents may be released:____________________________________________________________
Information will not be released to persons not listed without your written permission.
10. If you have been in correspondence with anyone at the University of Arkansas (other than International Admissions), please list such persons and/or
offices: ____________________________________________________________________________________________________________________
11. Name, address, and email address of your hometown newspaper:______________________________________________________________________
12. How long do you plan to study at the University of Arkansas? ________________________________________________________________________
13. How do you plan to meet your expenses for the second and subsequent years at the University of Arkansas?____________________________________
14. If you do not meet our English proficiency requirement, are you interested in attending our on-campus intensive English program prior to your academic
program? Yes No, I will take/retake the TOEFL or IELTS and submit a new score.
(To be completed by sponsor - attach additional pages if receiving support from more than one sponsor.)
In consideration of the admission of _________________________________________________________________________________________________
who is my ____________________________________, as a student at the University of Arkansas for the academic year beginning ____________________,
I certify that I am able, willing, and do promise to provide him/her with the minimum amount of USD $_____________________ for his/her expenses during
said academic year. Evidence of my financial resources in the form of a bank statement accompanies this affidavit of support.
___________________________________________________ ____________________________________________ ____________________
Address of sponsor: _____________________________________________________________________________________________________________
This form must be accompanied by a bank statement unless you have enclosed an official copy or statement of your award from your sponsor.
Without the items mentioned in the form above, your application will not be considered complete, and you will not receive the immigration Form I-20 or DS-
You are advised to keep copies of all financial documents submitted to the University of Arkansas. Similar information will be required by the United States
Consular Office when you apply for your visa and, in come cases, by the Department of Homeland Security when you apply for a transfer within the United
States, issuance of dependent I-02s or DS-2019s for spouse or children, extension of an F-1 or J -1 program, or change of status to F-1 or J -1.
You may print and mail this completed form and accompanying documentation of support to:
International Admissions Office
346 N. Arkansas Ave. #50 1 University of Arkansas
Fayetteville, AR 72701 USA
OR fax to: 1.479.575.5055
OR Click SUBMIT to email the form directly to us
Students Name
Name of Sponsor Signatureof Sponsor Date
Relationship Semester and Year