Permanent Address
Street Address
City
State
Zip / Postal Code
Country
Phone
Email address

Current Address
Start Date	Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
End Date	Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Street Address
City
State
Zip / Postal code
Country
Phone
Send correspondence to my:	Current Address  Permanent Address

Citizenship, Birthdate, Religious Affiliation

Gender	Male Female
Social Security Number (write "none" if you do not have a SSN)
Date of Birth	Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
City and Country of Birth
Country of Citizenship
Visa type	Select one F1 J1 Other
If Other, please specify
Passport Number
Passport issued by (country):
What is your native language (language spoken in your family)?
Religious preference (optional)	Baptist B'Hai Buddhist Catholic Church of Christ Christian Christian Science Disciples of Christ Episcopalian Hindu Jewish Lutheran Mormon Methodist Muslim Other Religion Protestant Pentecostal Presbyterian Unitarian Undeclared
Will any dependents accompany you to the U.S.?	Yes No
Have you ever been convicted of a felony?	Yes No
If Yes, please explain

Educational Plans

I plan to enter the English Institute:	Select session August October January March May Year 2008 2009 2010 2011
Have you taken the TOEFL?	Yes No
If yes, when?	Month January February March April May June July August September October November December   Year 2010 2009 2008 2007 2006 2005 2004
Do you plan to live in university housing?	Yes No
Have you ever applied for admission to The University of Tulsa?	Yes No
If yes, which semester?	Semester Spring Summer Fall Year 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930
How did you hear about The University of Tulsa?

Educational Background

High School/Secondary School Attended: (years 10-13)
City
State (if in U.S.)
Country
Degree Earned
Degree Date	Month January February March April May June July August September October November December Year 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
Years Attended	to

Are you currently attending a U.S. institution?	Yes No
If yes, please provide the name and address of the school:

Please indicate how you will send your transcripts and financial documentation:

By mail By courier service

Students with Disabilities: The University of Tulsa (TU) will accommodate all students with disabilities pursuant to federal and state law. If students wish to receive timely accommodation they should contact the 504 Coordinator at The Center for Student Academic Support, (918) 631-2315, or TDD (918) 631-3329 at least three weeks prior to the beginning of the semester. The University of Tulsa employs, advances, admits and treats, in its employment and educational programs, all persons without regard to their race, color, national or ethnic origin, sex, age, religion, handicap or status as a veteran. I certify that all of the foregoing information is complete and correct. I agree to abide by university rules, policies and regulations now or hereafter existing. I recognize the right of the university to change its curricula, policies, rules and regulations from time to time.

 

You must submit a Confirmation of Financial Resources form