Click here for the PDF version

APPLICATION FOR UNDERGRADUATE ADMISSION
IGNATIUS UNIVERSITY (Indianapolis, Indiana)

Mail to:
Undergraduate Admissions office
2295 Victory Blvd.
Staten Island, NY 10314
(718) 698-0700

No application will be considered without an application fee of $50 (non-refundable) enclosed.

Please type all information:

______________________________________________________________________________________________

Personal Information:

______________________________________________________­­________________________________________
Last Name First Name Middle Name Social Security Number

______________________________________________________________________________________________
Former Last Names, if any.

______________________________________________________________________________________________
Address

City ______________________County_______________________State________________Zip______________

Home Telephone (area code)_________________________________Fax________________________________

E-mail________________________________________________________________________________________

Full-time Employer (if any) __________________________________________________________________

Business Telephone (area code)_____________________________Fax________________________________

Sex __Male __Female Date of Birth ___/___/___ Marital Status: ___Single ___Married ___ Other

If married, Spouse’s Full Name________________________________________________________________

Highest Education_____________________________________________________________________________

Citizen of USA __ Yes __ No If no, __ International __ Resident

Religious Preference (optional)_______________________________________________________________

Parish or Congregation and City ______________________________________________________________

Ethnic Origin (optional) __White
__Asian-Pacific Islander
__Hispanic
__African-American
__Native-American
__Other

Required Photos: Attach the following: photocopy of Driver’s License and Passport; current
original professional passport size photo; several snap shots of yourself.
All photos must have your signature on the bottom of photo.
Optional Photos: Snap shots of you with family and/or relatives and friends. All these
photos are especially important today in view of Distance Learning.

______________________________________________________________________________________________

Family Information:

Father or Legal Guardian’s Full Name: ________________________________________________________

Address (if other than yours): _______________________________________________________________

Telephone (if other than yours): _____________________________________________________________

Did father attend college? __Yes __No If yes, state where: __________________________________

Mother’s Full name (include Maiden name): ____________________________________________________

Address (if other than yours): _______________________________________________________________

Telephone (if other than yours): _____________________________________________________________

Did mother attend college? __Yes __No If yes, state where: __________________________________

Names and ages of brothers, sisters, or children: ____________________________________________

List name and relationship of any relatives who are attending or have attended
Ignatius University: _________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

How did you learn about Ignatius University? _________________________________________________

______________________________________________________________________________________________

Academic Information:

Intended Major: ___________________________ Minor _______________________ Degree _____________

Objective: __ Bachelor (4 years) __ Associate (2 years)

Requested Date of Student Enrollment: ___Term ___Year __October __February __June __Continuous

Date you wish to begin: ______________________________________________________________________

Student Status: __FR-First-time Freshman
__Adult Freshman (24 years or older)
__TR-Transfer
__SD-Second Bachelor’s Degree
__SP-Second Ignatius Degree
__CE-Certification Only
__HI-Special High School

Student Classification: __Full Time
__Part Time

Learning Location: I wish to study in __Indianapolis
__Staten Island
__by Distance Learning
__Europe
__Combination

Housing Plan: __Campus Housing __Commute

To which colleges are you applying ___________________________________________________________

______________________________________________________________________________________________

High School Information:

Name of High School___________________________________________________________________________

Address_______________________________________________________________________________________

City ______________________County_______________________State________________Zip______________

School Telephone_____________High School Counselor______________________________

High School CEEB Code________

Dates of Attendance from__________to ________

Date of Graduation______________or date of GED_________________

Date you took (or plan to take) Scholastic Aptitude Test (SAT) Month_______Year_____

SAT scores must be sent to IGNATIUS UNIVERSITY ADMISSION’S OFFICE.

Have you requested that high school transcript be sent to Ignatius University? ___Yes ___No
(If no, please send as soon as possible).

______________________________________________________________________________________________

Previous College Attendance:

Name of Institution______________________ Location____________________
From ____/____ to ____/____ Credits ____ Degree _____________________

Name of Institution______________________ Location____________________
From ____/____ to ____/____ Credits ____ Degree _____________________

Name of Institution______________________ Location____________________
From ____/____ to ____/____ Credits ____ Degree _____________________

Please request that official transcripts be sent from each school to Ignatius University,
Office of Admissions.

HIGH SCHOOL EXTRACURRICULAR ACTIVITIES AND COLLEGE EXTRACURRICULAR (Optional)

_____________________________________________________

_____________________________________________________

_____________________________________________________

______________________________________________________________________________________________

Letters of Recommendation

Two letters of recommendation are necessary: one letter from any teacher at your high school
or college recommending you for college studies; this letter must be on school stationery; the
second letter is needed from a clergy person indicating your good moral character; and this
document should be submitted on clergy stationery.

IMPORTANT: Misrepresentation in any statement may be considered sufficient reason for refusal
of admission or cancellation of admission after acceptance. High School and/or
College transcripts and SAT must be sent to the above address before your
application will be considered for admission. Please Note: Transcripts, once
submitted, become the property of the Ignatius University and are not returnable.

IGNATIUS UNIVERSITY DOES NOT DISCRIMINATE ON THE BASIS OF GENDER, RACE, AGE, HANDICAP.
NATIONAL ORIGIN OR CREED IN ADMINISTRATION OF ANY OF ITS POLICIES.

I hereby certify that the information given in this application is accurate and complete,
to the best of my knowledge. If I am accepted as a student, I agree to abide by the policies,
philosophy of conduct, and expectations of IGNATIUS UNIVERSITY. I have read in its entirety
the information on Ignatius University including the material on history, mission,
accreditation, degree requirements, grades and fees.

Date_____________________Signature____________________________________________________________

Please return completed application to: Office of Admissions
Ignatius University
2295 Victory Boulevard
Staten Island, N.Y 10314