College of Undergraduate Studies
Immaculata University
Undergraduate Admissions Online Application

Note: Please use Internet Explorer when filling out the application.

Begin the process by filling out this Undergraduate Admissions Application for full-time freshman and transfer students. Application for admission is not complete until the University has received your official transcript(s), official test scores(s), and the application fee of $35.

Contact Information

 
Name (First, Middle Initial, Last)    
   
Permanent / Legal Address
City State Zip Code
 
County    
   
 
Mailing Address (if different from Permanent Address)
City State Zip Code
County    
   
     
Daytime Phone Cell Phone  
 
Email Address IM Address (Please List IM Service: AIM, Yahoo, MSN, etc)
     
Personal Information
Date of Birth (mm/dd/yyyy)  Gender  Male Female  
   
Citizenship:  US Citizen Permanent Resident International Student  
Visa Status: Country of Citizenship:
First Language (If other than English)
     
Optional Information (for statistical purposes only)
Ethnic Origin    
American Indian Asian/Pacific Islander Black, non-Hispanic Hispanic White, non-Hispanic
 
     
Religion    
     
Application Status

Type of Applicant:

Entering Term:  
  Freshman Transfer   Fall (September) Spring (January)
     
Year of Enrollment Housing Preference  
  2008 2009   Resident Commuter  
     
Academic / Educational Information
Please list all high schools or colleges / universities attended or GED information (most recent schools first). You must request official transcripts.
Name of School
City, State
Dates of Attendance
Year of Graduation
     
Sat Test Scores: Critical Reading: Math: Writing:
Date(s) Taken:  
To be Taken:  
   
ACT Test Scores: Yes No Scores:
Dates(s) Taken:  
To be Taken:  
   
TOEFL Test Scores: Yes No Scores:
Dates(s) Taken:  
To be Taken:  
   
Please list your extracurricular activities, hobbies, employment, leadership roles, and community service in order of their importance to you. You may also submit a resume.
 
   
Have you every been suspended from school?  Yes No  
If yes, please provide a brief description in the space below.  
   
Have you ever been convicted of a felony?  Yes No  
If yes, please provide a brief description in the space below.
 
Family Information
Mother's Name:
Provide address only if different from the student.
Mailing Address    
City State Zip Code
Work Phone Cell Phone  
 
Email Address    
   
Highest Level of Education: High School 2-year 4-year Advanced Degree
Is your mother an alumna of Immaculata University? Yes No
 
Father's Name:
Provide address only if different from the student.
Mailing Address    
City State Zip Code
Work Phone Cell Phone  
 
Email Address    
   
Highest Level of Education: High School 2-year 4-year Advanced Degree

Is your father an alumnus of Immaculata University? Yes No

 
Besides your parents, please list the name(s) and your relationship to other Immaculata alumni.
 
Admission Information
Please indicate your first and second choices for a program of study.
First Choice :    
 
Second Choice    
   
 
If you intend to pursue Education Certification in addition to your major, please check the appropriate box:
Early Childhood Elementary Elementary/Special Education Secondary
 
If you are interested in any of the following areas in addition to your major, please check the appropriate box:
Pre-Medicine Pre-Law Pre-Veterinary Pre-Physical Therapy None
 
If you are interested in any of the following Allied Health Concentrations, please check the appropriate box:
Clinical Laboratory Science Diagnostic Medical Sonography Invasive Cardiovascular Technology
Nuclear Medicine Technology Surgical Technology None
 
     
Please Read
Please read the following statement before submitting your application.
I certify that the information submitted on this application is complete and correct to the best of my knowledge. I further authorize Immaculata University to make appropriate inquiries when necessary to certify the accuracy of my records. Any omission, misrepresentation, or misstatement of a material fact on the application may be the basis for denial of admission.
 
Submit
When your application has been completely filled out, click the button below to submit your application for processing