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Apply Online (save $15)We e a e app e web e a :
www.q p a .ed /app .( e app a ee $30 pa ab e b ed a d), ec App a awww. app.
Instructions for ApplicantsThis is an opportunity or you to tell us about yoursel . By flling out this Applica-tion or Admission, you provide Quinnipiac with in ormation we need to make an
admission decision.
We recognize that there is more to you than the in ormation requested on this
application. We encourage you to arrange or a campus visit and admissions inter-
view so we can meet with you to discuss your achievements, your education plans,
and your career goals. A campus visit and admissions interview also gives you a
chance to learn more about Quinnipiac; to ask questions o us and to explore the a-
cilities and services available on our campus. I you have any questions about this
application, or would like to arrange a campus visit and admissions interview, please
call the O fce o Undergraduate Admissions at (203) 582-8600 or 1 (800) 462-1944.
General InformationPlease complete all sections o this application and return it to the O fce o Under-
graduate Admissions. I you are applying or re-admission, special status, graduate
programs, the College o Pro essional Studies, the accelerated nursing program,
or law school admission, you should not fle this application. Applications or those
purposes are available rom the O fces o Undergraduate or Graduate Admissions.
Please note that post-high school attendance at any other college, even i
course work was not completed or is not applicable to your current study plans,
constitutes a trans er application, and transcripts must be provided.
Financial Aid ApplicantsI you wish to be considered or fnancial aid, please check the appropriate box in
section 3 o the application. Quinnipiac practices ‘need blind’ admissions —we do
not take fnancial need into account when making admissions decisions. To apply
or fnancial aid, you’ll need to fle the FAFSA (Free Application or Federal Student
Aid - QU code 001402) You can fle your FAFSA online at www. a sa.ed.gov.
DeadlinesQuinnipiac practices rolling admissions which means we review applicatio
on an ongoing basis. We admit about 50% o those who apply, and o ten hav
considerable number o students on a waitlist. Each year, approximately 15%
those choosing to remain on our waitlist are o ered admission.
F e e :We recommend that you apply as early as possible in
your senior year.The Admissions Committee begins to review completed applications
mid-November and we begin to noti y students in early January. All ph
therapy, nursing and physician assistant majors should apply by Novem
1st, and February 1st is the recommended deadline or all other program
t a e de :We recommend that you apply by mid November o
spring (January) semester, and prior to April 1st or the all (August) se
Athletic Training, Physical Therapy and Nursing trans er applicants mus
by March 1. Please visit our website at www.quinnipiac.edu/x79.xml o
plete details. Trans er applications or the all semester will be consid
complete when we receive grades rom the previous all semester. Deciwill be made pending success ul completion o current academic work
Quinnipiac subscribes to the Candidate Reply Date agreement, which gives y
until May 1 to act on an o er o admission made be ore that date. Student
are placed on a waitlist will be notifed o any movement by June 1.
International StudentsIn addition to the application requirements listed, i English is not your prim
language, the results o a TOEFL or APIEL exam must be provided to the A
sions O fce. You are required to take the SAT I, only i English is your prim
language. Admitted students must provide a statement o fnancial support in
order to receive an I-20 orm.International Students are eligible to receive an International Student
Scholarship and/or grant awards based on the strength o their previous edu
tion, and/or fnancial need. Students may fle the International Student Financi
Aid Application, which is on our website, or a needs analysis and send it to
Admissions O fce.
Q uinnipiacu niversity
275 Mount Carmel Avenue
Hamden, CT 06518
Application Admissionfor
Quinnipiac University has a strong commitment to the principles and practices o diversity throughout the University community. Women, members o minority groups, and individuals with disabilities are encoura
and apply or admission. Quinnipiac University does not discriminate on the basis o race, color, creed, gender, age, sexual orientation, national and ethnic origin, or disability status in the administration o its educ
admissions policies, employment policies, scholarship and loan programs, athletic programs, or other university-administered programs.
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A Completed Application For most programs a completed application consists o :
• A Quinnipiac application or admission.
• A one-page essay included with your application (minimum 250 words).
• A high school transcript o completed courses. This must be mailed by your
school to the O fce o Undergraduate Admissions, Quinnipiac University,
Hamden, CT 06518-1940. Seniors should arrange to have frst quarter
grades sent when available.
• Trans er applicants must send a high school transcript unless an Associateor Bachelor’s degree has been completed. Trans er students normally are
expected to present a grade point average o at least 2.5 or previous col-
lege work. Some majors require a higher gpa or consideration. Prospective
trans er candidates are encouraged to discuss their academic plans with an
admissions counselor prior to making an application. (Trans er students can-
not be accommodated in the 6 year physician assistant program.)
• An o fcial score report or either the SAT I, Reasoning Test or the ACT (Op-
tional or trans er students who have completed one year o college work).
Request that your SAT scores be reported to Quinnipiac (Quinnipiac University
SAT code is 3712) or or the ACT, the Quinnipiac University ACT code is 0582.
• Freshmen applicants must provide a minimum o one letter o recommen-
dation rom a guidance counselor or a teacher. A orm is included which
may be duplicated. We recommend that trans er applicants provide one
letter o recommendation rom a teacher or employer.
• I fling a paper application, the application ee o $45. Please do not send
cash. Make check or money order payable to Quinnipiac University.
Degree Programs (list of majors)Below is a list o degree programs at Quinnipiac. Please write the name o the
program to which you are applying in section 3 o the “Admission In ormation”
section o your application. You should indicate an alternate program you wishto be considered or i we are unable to o er you placement in your program o
choice. You may indicate that you are undeclared in your choice o major.
College of Liberal ArtsBa e ’ De ee P a
Computer Science
Criminal Justice
English
Gerontology
History
Independent Major
Interactive Digital Design
Legal Studies (paralegal)
Mathematics (Actuarial Studies emphasis available)
Political Science
Psychobiology
Psychology (with emphasis in Child Development,
Human Services or Industrial Psychology)
Social Services
Sociology
Spanish
Theater
Division of EducationEducation students should select a liberal arts or natural science major and in
cate their interest in the 5-year Master o Arts in Teaching or elementary
or secondary grades in section 3.
School of BusinessBa e ’ De ee P a
Accounting
Advertising
Biomedical MarketingIn ormation Systems Management
In ormation Systems Management/Accounting
Economics
Entrepreneurship
Finance
International Business
Management
Marketing
School of CommunicationsBa e ’ De ee P a
Communications (please indicate production or media
studies as your area o concentration)
Production
Media Studies
Journalism
Public Relations
School of Health SciencesBa e ’ De ee P a
Athletic Training/Sports Medicine
Biochemistry
Biology
Biomedical Science
Chemistry
Diagnostic Imaging
Health/Science Studies
Microbiology/Molecular Biology
Nursing
Occupational Therapy1
Physical Therapy2
Physician Assistant3
Veterinary Technology
1 The program is a 5 1/2-year Master o Occupational
Therapy degree.
2 The program is a 6 1/2 year Doctor o Physical Therapy degree.
3 Freshmen entry only, no trans er option. The program is a 6-year
Master o Health Science degree or Physician Assistant.
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( f e e )Date ______________________________
c Reg c Cond. Initial ________________________________
Decision Program _________________________________________________________________________________
________________________________________________
Dorm deposit ___________________________________
Matriculation deposit ____________________________________________________
Application Fee $45 ______________________________________________
Online Applicat ion __________________________________________________________________________________________________________________________________________________
Q uinnipiacu niversity
275 Mount Carmel Avenue
Hamden, CT 06518
P e203-582-8600 or
800-462-1944
Fa
203-582-8906
Web e
www.quinnipiac.edu
APPlicAtion For ADmission: EntrAncE PlAnnED For:c Fall semester (begins in August), YEAR _________________ c Spring semester (begins in January) , YEAR ________________c Freshman or c Trans er c Full Time Studentor c Part Time (day)or c Part Time (evening)
Social Security number: ___________ — _________ — ____________ c Male c Female(required o US citizens)
PErsonAl DAtA
Legal name___________________________________________________________________________________________________________________(last) (frst) (middle initial)
Former last name(s), i any _______________________________________________________________________________________________________
Home address ( or all admission correspondence) ____________________________________________________________________________________(number and street) (apartment number)
_____________________________________________________________________________________________________________________________(city/town) (state) (zip code, or postal code) (country)
Telephone ___________________________________________ E-mail__________________________________________________________________
Date o birth_________________________________________ Country o citizenship ______________________________________________________
I you were not born in the U.S., how long have you lived in the United States?________________ years.
I living in the U.S.A. but not a U.S. citizen: Type o visa ___________________
Visa number _________________________________________ Permanent resident identifcat ion number _____________________________________
ADmission inFormAtion (sEE “DEgrEE ProgrAms” on PAgE 5.)
Major to which you are applying___________________________________________________________________________ ___________________( or o fce use only
Second choice major____________________________________________________________________________________________________________
I undeclared, are you: c Undeclared Liberal Arts c Undeclared Business
c Undeclared Communications c Undeclared Health Sciences
I considering the ollowing, check where appropriate: c combined BS/Master o Business Administration 5-year BA/Master o Arts in Teaching program (indicate on
c Baccalaureate/J.D. program with the School o Law c Elementary c Secondary
I interested in pre-med or pre-law programs, please check: c Pre-med c Pre-law
Do you wish to be considered or campus housing? c Yes c No
Will you fle the FAFSA to be considered or Financial Aidc Yes c No
Have you visited the Quinnipiac campus?(check all that apply):
c Open House c Admissions Interview c I n ormation Session c Campus Tour c Other_________________________
EDucAtionAl DAtA
High school rom which you have graduated or will graduate____________________________________________________________________________
High school CEEB code number_________________________
High school address ____________________________________________________________________________________________________________(city/town) (state) (zip)
Date o high school graduation _____________________________________________High school telephone number _____________________________(month) (year)
Name o your high school counselor _______________________________________________________________________________________________
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List all other secondary schools and postgraduate schools you have attended:Name o secondary school/postgraduate school Dates attended
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
List all courses you are taking in your senior year o high school:
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________ While in high school, list any colleges at which you have taken courses or credit. Please indicate course names. Please have a transcript rom eachtion sent to the O fce o Undergraduate Admissions at Quinnipiac as soon as possible.Name o college Location (city, state, zip) Dates attended Course name(s)
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
trAnsFEr stuDEnts
List all colleges at which you have enrolled, even i no courses were completed. List the most recent frst, then the next most recent, etc. Please havetranscript rom each institution sent to the O fce o Undergraduate Admissions at Quinnipiac as soon as possible.Name o college City, State Dates attended Completed Credits GPA Credits in Progress
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
c Please check i you have received or will receive (prior to enrollment) a(n):
c Associate degree rom __________________________________________________________________ Date: ______________
c Bachelor degree rom ___________________________________________________________________ Date: ______________
BriEF stAtEmEntQuinnipiac University is dedicated to creating an environment that appeals to students o di erent backgrounds. How would you contribute type o college culture?
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
stuDEnts With DisABilitiEsColleges are not permitted to solicit this in ormation prior to acceptance. Our section 504 and ADA coordinator is John Jarvis. We encourage all stuwho wish to sel -disclose a disability a ter they have been accepted and/or decide to attend Quinnipiac to contact Mr. Jarvis.
P ea e e:Certain majors, particularly in the School o Health Sciences, lead to pro essions that have required technical standards. I you have qregarding your disability as it relates to your choice o major, please contact Mr. Jarvis in the Learning Center, 203-582-5390.
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oPtionAl inFormAtion
Place o birth __________________________________________________________________________________________________________________(city/town) (state)
Your military service, i any _______________________________________________________________________________________________________(branch) (dates)
How would you describe yoursel ?(Check one)
c American Indian or Alaskan Native_________________________(Tribal a fliation) c Asian American c Pacifc Islander
c Black/non-Hispanic c Hispanic c White/non-Hispanic c Multi-racial____________________________
c Other______________________________
notE: Please complete this section i you wish to be considered or any benefts that may be available to members o a racial group
under-represented in higher education.
Work ExPEriEncEPlease list any job (including summer employment) you have held during the past three years.Specifc nature o work Employer Approximate dates o employment Approximate number o hours per w
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
tEst inFormAtionQuinnipiac requires the SAT I (critical reading and mathematics) or the ACT to be considered or reshman admission, and scholarship purpose
complete this section so that the admissions committee is aware o your planned test dates and scores. Please be sure all scores are sent to the unive
I have taken and/or plan to take the SAT I I have taken and/or plan to take the ACT
Month/Year: Critical Reading: Math: Month/Year: Composite Score:
Month/Year: Critical Reading: Math: Month/Year: Composite Score :
Month/Year: Critical Reading: Math: Month/Year: Composite Score:
Your frst language, i other than English ____________________________________________________________________________________________
Have you taken or do you plan to take the TOEFL (Test o English as a Foreign Language) exam?c Yes c No
I Yes, please be sure scores are sent to the university. Date _________________________ Score _______________________________________
PErsonAl stAtEmEnt (EssAy), minimum oF 250 WorDsPlease attach a maximum one page essay on a topic of your choice. You may wish to share a characteristic you possess that you consider a strength,
or you may want to tell us about your interest in Quinnipiac and/or your future career plans. TRANSFER students should use their statement to high-
light their reasons for wanting to transfer to Quinnipiac from their previous institution. INTERNATIONAL students should tell us about their previous
educational and life experience and why they are interested in Quinnipiac.
I you are NOT currently attending school, check here:c
Describe in detail, on a separate sheet, your activities since you were last enrolled in school.
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FAmily inFormAtionI you do not live with both parents, with whom do you make your permanent home?
_____________________________________________________________________________________________________________________________(name) (relationship to you)
Father Mother
Full name: ________________________________________ _______________________________________
Home address: ________________________________________ _______________________________________(i di erent rom yours) ________________________________________ _______________________________________
Occupation: ________________________________________ _______________________________________
Firm/company: ________________________________________ _______________________________________
Colleges attended, i any: ________________________________________ _______________________________________
Degrees earned: ________________________________________ _______________________________________
Please provide one parent’s
e-mail address: ________________________________________ _______________________________________
Check here i parents are: c separated or c divorced
(Full names) Stepmother _____________________________________________ Step ather _________________________________________________
Please list names and ages o your brothers and sisters. Also list the schools/colleges they are attending or have attended, the diplomas/degrees they
earned, and the approximate dates they attended these institutions.
Name Age School/College Diploma/Degree Dates
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
List the names o any relatives not included above who have attended Quinnipiac.
_____________________________________________________________ ____________________________________________________________(name) (relationship ) (name) (relationship)
List the names o any relatives employed by Quinnipiac University.
_____________________________________________________________ ____________________________________________________________(name) (relationship ) (name) (relationship)
List the names o any Quinnipiac Alumni with whom you are acquainted.
_____________________________________________________________ ____________________________________________________________(name) (relationship ) (name) (relationship)
I Quinnipiac was recommended to you, please give the name o the recommender and his or her relationship to you (e.g. teacher, employer, riend
_____________________________________________________________ ____________________________________________________________(name) (relationship ) (name) (relationship)
Have you ever been suspended or missed signifcant time rom school?c yes c no I yes, please explain (use additional page i necessary):
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I hereby agree that all application in ormation is complete and truth ul. I urther agree to support the administration in upholding the rules and regu
o the University and in maintaining high standards in all phases o college li e.
_____________________________________________________________________________________________________________________________Applicant’s signature Date
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CounselorRecommendation
Q uinnipiacu niversity
275 Mount Carmel Avenue
Hamden, CT 06518
(rEQuirED ForFrEshmEn APPlicAnts)Is secondary transcript attached?
c Yes c No
APPlicAnt inFormAtion
Legal name ___________________________________________________________________________________________________________________(last) (frst) (middle initial)
Address ____________________________________________________________________________________________________________(city/town) (state) (zip code, or postal code)
High School Name ____________________________________________________________________________________________________(city/town) (state) (zip code, or postal code)
Privacy Notice: Under the terms o the Family Education Rights and Privacy Act (FERPA) the student will have access to this recommendation i they are admitted
and matriculate at Quinnipiac University.
sEconDAry counsElor rEcommEnDAtion
Counselor name _______________________________________________________________________________________________________________(phone number) (e-mail)
How would you describe the student’s academic program?c most challenging c very challenging c average c less than challenging
Indicate (please estimate i a specifc rank can’t be provided) student’s class rank: Student rank:_____________ Class size: _____________c top 1-2% c top 5% c top 10% c top 15% c top 20% c top 25% c top 50% c bottom 50%
Cumulative GPA: Highest GPA in class: Is GPA: Weighted
(circle one)
Unweighted
Do you recommend this applicant:c with great enthusiasm c without reservation c strongly c with some reservation
How long have you known the applicant and in what capacity? _________________________________________________________________________
What would you like us to know about the applicant? (you can attach a letter o recommendation i you wish)
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
Signature ________________________________________________________________________________________ Date __________________________
P ea e e d : e o f e u de ad a e Ad , Q p a u ve , 275 m . ca e Ave e, ha a 203-582-8906
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TeacherRecommendation
Q uinnipiacu niversity
275 Mount Carmel Avenue
Hamden, CT 06518(oPtionAl)
APPLICANT INFORMATION (P ea e f a a d ve ea e . t e d e d d e
Legal name ___________________________________________________________________________________________________________________(last) (rst) (middle initial)
Address ______________________________________________________________________________________________________________________(city/town) (state) (zip code, or postal code)
High School Name ______________________________________________________________________________________________________________(city/town) (state) (zip code, or postal code)
Privacy Notice: Under the terms o the Family Education Rights and Privacy Act (FERPA) the student will have access to this recommendation i they are admitte
and matriculate at Quinnipiac University.
TEACHER RECOMMENDATION
Teacher name _________________________________________________________________________________________________________________(rst, last) (subject taught)
How well do you know this applicant and in what context?
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
What words come to mind to describe this applicant?
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
What do you eel is the student’s greatest strength?
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
In what way could the student improve?
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
Please write whatever you eel is important about this student, including a description o academic and personal characteristics as you’ve wit
You may choose to attach a separate letter o recommendation you may have prepared or this student._____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
Signature________________________________________________________________________________________ Date __________________________
Please send to: the Ofce of Undergraduate Admissions, Quinnipiac University, 275 Mt. Carmel Avenue, Hamden, CT 06518 or fax to 203-582-8906
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