Professional Documents
Culture Documents
IMPORTANT: This application is only for students applying to the Radford University Carilion campus in Roanoke, Virginia.
Yes
If you wish to apply to the Radford University
Carilion campus in Roanoke, Virginia, please
select "Yes" below and continue filing this
application.
About You
Your Address
Permanent Address
Address Line 1 Ayanwale street ikotun lagos
Address Line 2
City Ikotun alimosho LGA
State/Province
ZIP/Postal Code 102213
Country
Nigeria
Is your mailing address the same as your Yes
permanent address?
Your Family
Parent 1/Guardian 1
Relationship Father
Title Mr.
First Name Aminu
Last Name Omelle
Suffix Sr.
Email Address maxwellstrent@gmail.com
Home Phone Number 802-947-2791
Cell Phone Number --
What is the highest level of education this Bachelor's Degree (B.A., B.S., etc.)
parent/guardian attained?
What college(s)/university(ies) did this Lagos state university
parent/guardian graduate from?
Is this parent's/guardian's mailing address the Yes
same as your permanent address?
Parent 2/Guardian 2
Relationship Mother
Title Mrs.
First Name Rainat
Last Name Omelle
Suffix
Email Address ayomidedara7@gmail.com
Home Phone Number --
Cell Phone Number --
What is the highest level of education this
parent/guardian attained?
Is this parent's/guardian's mailing address the
same as your permanent address?
Legacy
Ethnicity (Optional)
If you wish to be identified with a particular ethnic group, please select the choice that most accurately describes your heritage.
No information you provide will be used in a discriminatory manner.
Are you Hispanic or Latino? No
Select one or more of the following races: [ ] American Indian or Alaska Native
[ ] Asian
[X] Black or African American
[ ] Native Hawaiian or Other Pacific Islander
[ ] White
Your Plans
High School
College/University Coursework
In order to receive credit for your courses, you must submit your official transcript(s) of attempted coursework. Transcript(s) must
be official copies sent directly to the Radford University Carilion Office of Admissions.
Briefly describe the academic honors you have received or leadership positions you have held.
Honor/Leadership Role Vice President of the jet science club society for
Military Service
We welcome the opportunity to get to know you. Please tell us about yourself - why an education and career in healthcare
interests you, what motivates you, ways in which you'll contribute to our campus community or anything additional you'd like to
share with those reviewing your application.
Document uploaded:
Information provided below will be considered in the context of the rest of your application and does not necessarily prevent you
from being admitted to college.
Honor Pledge
Radford University Carilion operates under an Honor System that provides the foundation for a college community in which
freedom, trust and respect can prevail. Upon accepting admission to Radford University Carilion, you would agree to make a
commitment to support and uphold the Honor System without compromise or exception.
I acknowledge my responsibility for knowledge of and compliance with all conditions set forth in the Standards of Student
Conduct, including, but not limited to, any agreements referring to responsibility for payment of tuition and fees.
I have read and understand the Honor Pledge statement of Radford University Carilion. If offered admission, I agree to abide by
the Honor Pledge and the rules and regulations of the University as stated in the Standards of Student Conduct.
Admission Policy
Radford University Carilion does not discriminate in the administration of its educational programs, activities, admission or
employment practices. Inquiries should be directed to the Human Resources Office at 540-831-5421 or 540-831-5128 TTY.
[X] Please certify that you acknowledge and understand the statements made above.
[X] I certify that the information provided regarding my residency status is complete and correct. I understand that if I
provide fraudulent information, I may be subject to repayment of tuition or dismissal. I agree to provide Radford
University Carilion with supporting documentation related to my application if I am requested to do so.
[X] I certify that the information on this application is complete and correct, and I understand that the submission of false
information is grounds for denial of my application, withdrawal of any offer of acceptance, cancellation of enrollment or
any appropriate disciplinary action. I authorize the University to verify the information I have provided with all the
schools I have attended. I agree to notify the proper officials of the institution of any changes in the information
provided. I give the appropriate school(s), if any, permission to send my official transcript(s) directly to Radford
University Carilion.