Susquehanna University Application

* Indicates a required field

Name

First Name

Middle Name

Last Name

Would you like to share a preferred first name?

Yes

No

Preferred First Name

This is the name we will use in all future email and print communications, including occasional communications copying parents/guardians.

Address

Permanent/Physical Address

Country

Street

City

Region

Postal Code

Mailing Address

Same as Permanent/Physical Address

Country

Street

City

Region

Postal Code

Contact Information

Email Address
Avoid using a school email address or emails from Susquehanna may be blocked.

Cell Phone Number

Home Phone Number

I give permission to Susquehanna University to send me important updates via text messaging standard message charges apply

Yes

No

Biographical Information

Birthdate

Legal Sex

If you would like to share more about your gender identity, please select from below.

Please describe:

If you would like to select one or more preferred pronouns, please do so.

Please describe:

Citizenship Information

Citizenship Status

U.S. Citizen or U.S. National

U.S. Dual Citizen

U.S. Permanent Resident

U.S. Refugee or Asylee

DACA, Undocumented, Deferred Enforced Departure, or Temporary Protected Status

What is your country of citizenship?

Do you have another country of citizenship?

Yes

No

What is your other country of citizenship?

Social Security Number without dashes

If you plan to apply for federal financial aid, Susquehanna will need to have your SSN on file.

Race & Ethnicity

With which of the following do you identify? Please check all that apply.

Are you Hispanic or Latino?

Yes

No

Tribal Identity or Affiliation

College Plans

What semester do you plan to start at SU?

2024 Fall

I am applying as a...

First-Year

Transfer

Please select your decision plan

How many credits do you intend to transfer to SU?

Academic Information

Intended Major

Are you interested in SU's Honors Program?

Yes

No

Housing Plans

Will you live on campus or commute?

On Campus

Commute

Commuters must meet one or more of the following requirements:

Commuting from and residing full-time in a the primary residence of their parents/guardians, which is within 45 minutes driving distance of campus.
Married or civilly unified and residing with spouse
Serving as a legal guardian of a child(ren) and residing with said child(ren)
Over 23 years of age at the start of the academic year.

Commuter students will be approved by the Residence Life Office.

Financial Aid Plans

Do you plan to apply for financial aid?

Yes

No

Your Family

Is one or more of your parents/guardians currently employed by Susquehanna University?

Yes

No

Please provide the name of your family member(s) employed by the University and their department/position.

Is anyone in your family a graduate or current student at Susquehanna University?

Yes

No

Susquehanna Legacy 1

First Name

Last Name

Relationship

Graduation Year

Would you like to add an additional family graduate or current student?

Yes

No

Susquehanna Legacy 2

First Name

Last Name

Relationship

Graduation Year

Would you like to add an additional family graduate or current student?

Yes

No

Susquehanna Legacy 3

First Name

Last Name

Relationship

Graduation Year

With whom do you live?

One Parent/Guardian

Two Parents/Guardians

I live independently - No Parents/Guardians

What is the marital status of your parents/guardians?

Married to each other

Not married to each other

Separated

Parent/Guardian 1 Information

This person is my

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Occupation

Highest level of education Parent/Guardian 1 attained

Parent/Guardian 1 school most recently attended

Is Parent/Guardian 1 deceased?

Yes

No

Date of Deceased:

Parent/Guardian 1 Contact Information

Parent/Guardian 1 Email

Parent/Guardian 1 Cell Phone Number

Do you live with Parent/Guardian 1?

Yes

No

Please enter an address for Parent/Guardian 1

Country

Street

City

Region

Postal Code

Parent/Guardian 2 Information

This person is my

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Occupation

Highest level of education Parent/Guardian 2 attained

Parent/Guardian 2 school most recently attended

Is Parent/Guardian 2 deceased?

Yes

No

Parent/Guardian 2 Contact Information

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone Number

Do you live with Parent/Guardian 2?

Yes

No

Please enter an address for Parent/Guardian 2

Country

Street

City

Region

Postal Code

Education Background

High School Information

High School Name (If your school does not appear, click “Continued…” at the bottom of the list.)

High School Graduation Date

High School Counselor Information

Please provide contact information for your high school counselor. Once you submit your application, an email will be sent to your counselor alerting them to the steps required to help complete your application.

Counselor First Name

Counselor Last Name

Counselor Email Address

Are you a part of a community-based organization (CBO)?

Yes

No

CBO name:

High School Name (If your school does not appear, click “Continued…” at the bottom of the list.)

High School Graduation Date

Current or Most Recent College Information

Current or Most Recent College Name

Have you attended another college?

Yes

No

Additional College Name

Grades & Scores

Test Optional

Applicants can choose to submit their SAT or ACT exam scores (or both), but can also decide to apply without submitting scores.

Will you be submitting SAT or ACT scores?

Yes

No

SAT

Have you taken the SAT?

Yes

No

SAT Evidence-Based Reading & Writing Score

SAT Math Score

What date did you take the SAT?

ACT

Have you taken the ACT?

Yes

No

ACT Composite Score

What date did you take the ACT?

GPA

What GPA scale is used at your current/most recent school?

Please enter your school's GPA scale

What is your GPA to the nearest decimal?

Activities (maximum of 10)

Do you want to submit activities?

Yes

No

Activity 1

Activity 1 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Do you want to submit a 2nd activity?

Yes

No

Activity 2

Activity 2 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Do you want to submit a 3rd activity?

Yes

No

Activity 3

Activity 3 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Do you want to submit a 4th activity?

Yes

No

Activity 4

Activity 4 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Do you want to submit a 5th activity?

Yes

No

Activity 5

Activity 5 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Do you want to submit a 6th activity?

Yes

No

Activity 6

Activity 6 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Do you want to submit a 7th activity?

Yes

No

Activity 7

Activity 7 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Do you want to submit an 8th activity?

Yes

No

Activity 8

Activity 8 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Do you want to submit a 9th activity?

Yes

No

Activity 9

Activity 9 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Do you want to submit a 10th activity?

Yes

No

Activity 10

Activity 10 Type

Grade(s) Participated

9

10

11

12

Awards Earned

Positions Held

Additional Information

T-shirt Size

Legal Agreement

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony?

Yes

No

Please explain

I waive my right to review or access letters and statements of recommendation written on my behalf.

Yes

No

I acknowledge that I will be unable to make changes to my application submission. I have ensured that my application complete and ready for submission.

I understand that, as a living, learning and working community, Susquehanna University affirms its commitment to being an engaged, culturally inclusive campus. The University's history and heritage lead us to affirm the dignity and worth of all persons. Consequently, we must be vigilant to ensure that we do not exclude or marginalize individuals and groups because of such differences as gender, sexual orientation, race, ethnicity, social class, marital and parental status, disability, age, religion, gender identity or expression, geography, and national origin. As Susquehanna seeks to embody the rich diversity of the human community, we commit ourselves to the full participation of persons who represent the breadth of human differences.

I certify that the information on this application is complete and correct, and I understand that the submission of false information is grounds for denial of admission, rescinding the offer of admission, cancellation of enrollment or any other appropriate disciplinary action. Susquehanna University reserves the right to rescind an offer of admission at any time if we receive information that, in our judgement, has a significant impact on your character or fitness for being a member of the Susquehanna community. I authorize the University to verify the information I have provided with all the schools I have attended. I agree to notify the proper officials of the institution of any changes in the information provided. I give my high school(s)/secondary school(s) permission to send my official transcript(s) directly to Susquehanna University.

Signature

In place of your signature, please type your full legal name:

Date: