| Have you previously applied for admission to Dickinson State University?
Yes
No |
| Have you previously attended Dickinson State University?
Yes
No |
| If yes, list date(s) attended:
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| Will you be registering for courses from more than one North Dakota
University System institution?
Yes
No |
| Personal Information |
*Last Name/Family or Surname:
*First Name/Given:
Middle:
Former name (if applicable):
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| *Address Line 1: |
Address must not be a PO Box.
Address must match Passport.
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*mandatory information
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| Address Line 2: |
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| *City: |
State:
Zip Code/Postal Code:
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| County: |
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| *Country: |
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| Telephone:
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(Include country and area codes) |
| *E-Mail Address: |
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| *Your Birth date |
(Month/date/year) Birth date required to process application. |
| *Place of Birth |
*City:
State:
County:
*Country:
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| Are you a North Dakota resident?
Yes
No |
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If yes, length of residency?
If no, state of residence?
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| *In which country do you hold citizenship?
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If not a U.S. citizen, are you a permanent resident?
Yes
No |
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If yes, give alien registration number:
or passport number:
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*Gender: |
Male
Female |
** This information is required for identification and statistical purposes only. It will not be used in a discriminatory manner and will not affect the
status of your application. |
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Race: |
Caucasian/White
Native American Indian/Native Alaskan
African American/Black
Asian/Pacific Islander
Hispanic/Non-Black |
| Are you a spouse/dependent of a graduate of a North Dakota Public Institution of Higher Education?
Yes
No |
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If yes, please check all that apply:
Bismarck State College
Dickinson State University
Lake Region State College
Mayville State University
Minot State University
Minot State University-Bottineau Campus
North Dakota State College of Science
North Dakota State University
University of North Dakota
Valley City State University
Williston State College |
| Parent/Guardian Information |
| Last Name/Family or Surname
First Name/Given
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Address Line 1:
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(If different from your mailing address above) |
| Address Line 2: |
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| City: |
State:
Zip Code/Postal Code:
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| County: |
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| Country: |
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| Telephone:
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(Include country and area codes) |
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| Military Information |
| Are you a member or Veteran of the Armed Service?
Yes
No |
| If yes, will you apply for benefits?
Yes
No |
| Are you an active member/dependent of an active member of the military stationed in N.D.?
Yes
No |
| Academic Information |
| *Year you plan to enter?
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| *Term: |
Fall (August)
Spring (January) |
| Please indicate: |
Academic Major:
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Are you planning to obtain a Teaching Degree? |
Yes
No |
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| Indicate the date you took or plan to take the following: |
| ACT: |
month:
year:
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TOEFL: |
month:
year:
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| SAT: |
month:
year:
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IELTS: |
month:
year:
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| List the last high school (secondary) attended: |
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High School:
City:
State:
Country:
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Graduation Date: month:
day:
year:
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High School GPA:
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GED Completion Date:
month:
day:
year:
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| Have you attended or are you currently enrolled in any other colleges or universities (post-secondary)?
Yes
No |
| List all colleges, universities, and post-secondary schools (beyond high school) attended,
whether or not credit was earned. |
| Failure to list all colleges, universities, and schools previously attended may result in denial of admission, recision of admission, dismissal, loss of credit(s),or other appropriate sanctions. |
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| Comments |
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| Global Awareness Tuition Waiver Application |
To submit a Global Awareness Tuition Waiver application, please read below and answer the following questions:
You must answer all three questions to be eligible for the Global Awareness Tuition Waiver.
Global Awareness is a Dickinson State University initiative to promote international learning and provide a cross-cultural experience for students and the campus community. The initiative provides substantial tuition assistance for qualified and dedicated international students who desire to study at a progressive, student-centered American university.
Students applying for the Global Awareness Tuition Waiver must have a paper-based TOEFL score of 525 or above, a computer-based TOEFL score of 197 or above, an internet-based TOEFL score of 71 or above, or an IELTS score of 5.5 or above. Students must also have demonstrated academic excellence in their previous schooling. |
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What is your primary language?
other:
List other languages you speak:
other:
Submit a 250-word essay describing how an American education at
Dickinson State University will impact your career aspirations
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| Certify & Submit |
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By submitting this application, I agree that all information listed above is complete and accurate.
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