Susquehanna University International 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 Address

Country

Street

City

Region

Postal Code

Contact Information

Email Address

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

Sex assigned at birth

Legal Sex (if not the same as sex assigned at birth)

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

Select your Citizenship Status

Not a U.S. Citizen or Permanent Resident

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

Social Security Number, required if applying for financial aid via FAFSA

List countries of citizenship?

Do you currently hold a valid U.S. Visa?

Yes

No

Currently held United States visa?

Race & Ethnicity

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

Are you Hispanic or Latino/a/x?

Yes

No

Tribal Identity or Affiliation

College Plans

What semester do you plan to start at SU?

2024 Fall

I am applying as a...

International First-Year

International Transfer

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

Your Family

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

Highest level of education Parent/Guardian 1 attained

Parent/Guardian 1 Occupation

Parent/Guardian 1 school most recently attended

Is Parent/Guardian 1 deceased?

Yes

No

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

Highest level of education Parent/Guardian 2 attained

Parent/Guardian 2 Occupation

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 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

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:

Grades & Scores

GPA

What GPA scale is used at your high school/secondary school?

What is your GPA to the nearest decimal?

Please enter your school's GPA scale

Which test scores do you plan to submit?

SAT Evidence-Based Reading & Writing Score

SAT Math Score

What date did you take the SAT?

ACT Composite Score

What date did you take the ACT?

Doulingo English Test Score

What date did you take the Doulingo English Test?

TOEFL Score

What date did you take the TOEFL?

IELTS Test Score

What date did you take the IELTS?

Activities (maximum of 7)

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

Additional Information

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: