APPLICATION FILE CREATED FOR: Shayne Fabian Hi Shayne, Thanks again for submitting your Transfer Application to University

of Portland. Please use this checklist to make sure you receive a timely admission decision. A. PRINT THIS PACKET... ...and save it for your records. To print, hit Ctrl/Cmd+p; to save, hit Ctrl/Cmd+s. B. WRITE youR ESSAy... ...if youre an education or nursing major and did not submit your essay online, please send it to the address below. C. REQuEST ALL oF youR oFFICIAL CoLLEGE TRANSCRIPT(S)... In addition, if youve taken fewer than 30 semester/45 quarter hours, then please send us your official test scores and high school transcript(s). Should you need them, our code for the SAT is 4847, and our code for the ACT is 3500. We look forward to reading your application and getting to know you better. Jason McDonald Transfer Admissions, MSC 180 University of Portland 5000 N. Willamette Blvd. Portland, OR 97203-5798 P.S. Come visit if you havent alreadyor even if you have! To schedule a visit or ask any questions about UP, please feel free to call us at (888) 627-5601.

Office of Admissions

5000 North Willamette Boulevard Portland, Oregon 97203

University of Portland - Transfer Application

Personal Information
Please provide your legal name below. First Name Middle Name Last Name Former Last Name(s), if any Preferred First Name Social Security Number
(optional)

Shayne Scott Fabian

Shayne 600-29-9128 04/06/1991 irzoomnea@gmail.com 480-560-4519 480-560-4519 Male Mormon

Date of Birth E-mail Address Home Telephone

International Number?

Cell Phone
International Number?

Gender Religious Preference

I am applying for the term beginning: Fall 2012 *All nursing major applications are for the Spring 2013 semester.

Address Information
Address Street Address Line 2 City State/Province Postal Code Country Mesa Arizona 85208 United States 845 South Sabrina

Mailing Address
(if different from your permanent address) Address Street Address Line 2 City State/Province

Postal Code Country Effective Dates From To / /

Citizenship
Are you a First language, if other than English U.S. citizen

Ethnicity
Are you Hispanic or Latino? Please check all that apply. No [ ] [ ] [ ] [ ] [X] American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White

Parent Education
Please indicate if one or both of your parents attended college. Yes

Family Member #1
Relationship First Name Last Name Telephone This person's address and mine are Mother Cori Fabian 480-688-4379 Same

Occupation
Name of Business or Organization Position Bridges E.C.E. Executive Director

Name Address City State/Province ZIP/Postal Code

Arizona State University

Tempe AZ

Country

US

Name Address City State/Province ZIP/Postal Code Country

Mesa Community College 1833 W Southern Ave Mesa AZ 85202-4822 US

Degree(s)

Early Childhood Education

Is this person deceased?

No

Family Member #2
Relationship First Name Last Name Telephone This person's address and mine are Father Howard Fabian 480-254-3909 Same

Occupation
Name of Business or Organization Position Self Employed Self

Name Address City State/Province ZIP/Postal Code Country

Central Arizona College 273 Old West Highway Apache Junction AZ 85219 United States

Degree(s)

NONE

Is this person deceased?

No

Family Information
Please list any family members that have attended University of Portland.
First Name

Last Name Relationship

Please list the names and ages of all other immediate family members and colleges or universities that they have attended.
First Name Last Name Relationship Age College Attended and/or degree earned Alex Hardy Foster/Adopted Brother 20 Mesa Community College

First Name Last Name Relationship Age College Attended and/or degree earned

Gabriel Fabian Brother 19 Mesa Community College

Declaration of Major
Have you previously applied to the University of Portland? Please select an intended major: Planned Career Goal Attention Nursing Applicants *The deadline to apply for the Transfer Nursing Program is January 15 at midnight PST. We will not accept any nursing applications after this date and time. Transfer eligibility and requirements can be viewed here. No Engineering: Electrical and Computer Software Engineering, Music Production, Professor

College(s) Attended
Cumulatively, have you completed fewer than 30 semester hours or 45 quarter hours at another college or university? Have you earned or do you plan on earning a bachelor's degree prior to attending University of Portland? No

No

Please list all colleges or universities you have attended or are currently attending. We are unable to process your application unless we have individual official transcripts from every college or university you have attended. Name Mesa Community College

Address City State/Province Postal Code Country Dates Attended From To Degree

1833 W Southern Ave Mesa AZ 85202-4822 US

01/2009 05/2012 Associates in Science

Current Schedule
Please list all courses you are taking during 2011-2012.

First Semester/Trimester Course Name MAT 241 (Calc III)

Course Name

PHY 121 (Calc based physics I)

Course Name

PED 115 (Lifetime Fitness)

Second Semester/Trimester Course Name PHY 131 (Calc based physics II

Course Name

MTC 101 (Music Theory)

Course Name

MAT 277 (Modern Differentials)

Third Trimester Course Name

Course Name

High School Information

At the time you apply, if you have completed fewer than 30 semester hours or 45 quarter hours at a college or university, a final official high school transcript is required to complete your application.

Name of High School Address City State/Province Postal Code Country Telephone Counselor Name Date of Graduation Your school is List any prior high schools attended.

Skyline High School 845 S Crismon Rd Mesa AZ 85208-2564 US 480-472-9400 Leach 05/2009 Public

Test Information
Official SAT or ACT scores are required only if you have completed fewer than 30 semester hours or 45 quarter hours from a college or university at the time you apply. If you have completed more than 30 semester hours or 45 quarter hours, please disregard this test information section.

ACT
Have you taken the ACT exam?

SAT
Have you taken the SAT exam? Yes

Date on which you have taken this test. Critical Reading Math Score

05/2008 510 540

Future Exams-ACT and SAT

Please list any tests (ACT or SAT) and dates of future exams.
Type of Test Month/Year SAT 11/2011

The TOEFL or IELTS (International Applicants Only)

Date on which you have taken or will take the test. TOEFL or IELTS Score Name of Financial Sponsor Relationship of Financial Sponsor /

Employment
Please list any job you have held during the past four years.
Employer Specific Nature of Work Approximate Dates From To Approximate Hours/Week 08/2006 10/2011 25 Barros Pizza Delivery Driver

Employer Specific Nature of Work Approximate Dates From To Approximate Hours/Week

Journey's Shoes Sales/Retail

01/2010 12/2010 20

Help Us Get to Know You

In a few sentences, please describe your most rewarding work or volunteer experience. For some time I was volunteering at a place called "The Therapy Zone" in which autistic, down syndrome, and mentally challenged people were donated the life experience of working with animals, learning how to ride horses, and ultimately riding horses with the help of volunteers. At first I was just the guy who did the maintenance and basic intermediate activity involving the disabled people(s), but eventually I worked my way up to one of the main volunteers and established many positive vibes and relationships with misunderstood, overlooked, fully capable human beings that in my opinion were some of the most genuine persons I have met to this day... Describe how you first became interested in attending University of Portland. I have always wanted to venture away from home for my undergraduate/masters degree program. After extensive research regarding the best options for the academics and environment that I seek, University of Portland came out as one of my top choices among Ivy League schools. What was the most important factor in your decision to apply to the University? The liberality, student body, academics, city, and coast all play major parts in my reasoning behind this application.

Essay (For Education and Nursing majors only)

Please provide one essay from the following two topics. The essay should be approximately 300 words in length and reflect your best composition efforts. 1. Describe a life experience that has inspired you to become a teacher or a nurse. 2. In your opinion, what is the most important responsibility of a teacher or a nurse?

Please identify people, events, or things that influenced your decision to apply to the University.

[X] [X] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [X] [ ] [X] [ ] [X] [ ]

Teacher/counselor UP student Relative High school visit UP admissions representative UP alumni Brochures College fair UP faculty or staff member Friend Visit to campus UP website Catholic affiliation Academic programs Other

Explain other.

You're Almost Done!

After you hit the submit button below, you cannot access your information. But you will be able to...
Download/Print your application Pay your application fee

Please read and check the boxes before submitting your application.
Have you ever been dismissed, suspended Yes from, or on disciplinary probation from a secondary school or college? Please explain your dismissal or suspension in the space below. Really quite petty actually, and I'm not sure if its even applicable- but I was sent home for one day during my Junior year of high school for cursing under my breath in class. Have you ever been arrested or convicted of any violation? No

Final Steps
If you feel that your academic record does not accurately reflect your ability, if there is additional information that may be important to the Admissions Committee in its evaluation of your application, or if you have been out of school for more than six months, briefly explain.

[X] I understand that the University of Portland must have an individual official transcript from every university or college I have attended. (If you have questions about meeting this requirement, please call our Office of Admissions at 1.888.627.5601.) [X] If I attend University of Portland, I grant the University, or any third parties selected by the University, permission to use or publish, in any medium, my photograph, likeness, or image for any purpose chosen by University of Portland. [X] I declare that all the information contained in my application is correct, complete, and honestly presented. Shayne, this is your last chance to review your application. After you've checked everything and are ready to send the final

version to us, click the "Submit My Application" button below.