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I am applying for admission as:
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Applying for semester:
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Fall
Spring
Summer
Applying for year:
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2012
2013
2014
2015
Status:
Full time
Part time (less than 12 hours)
Have you previously applied to or enrolled at Asbury University?:
Yes
No
If so, when did you apply?:
Last year in attendance?:
Your Information
Gender:
*
Male
Female
First name:
*
Middle name:
Last name:
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Preferred first name:
Street address:
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City:
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State:
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Alabama
Alaska
Arizona
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California
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Zip code:
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County (Ky. residents only):
Not in Kentucky
Adair
Allen
Anderson
Ballard
Barren
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Email address:
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Birthdate:
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Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
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10
11
12
13
14
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16
17
18
19
20
21
22
23
24
25
26
27
28
29
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31
Year
1930
1931
1932
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1934
1935
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1940
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1947
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1950
1951
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1953
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1955
1956
1957
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1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
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1982
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1984
1985
1986
1987
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1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Country of citizenship:
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United States
Afghanistan
Albania
Algereia
American Samoa (U.S. territory)
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas
Bahrain
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Bangladesh
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Bassa Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovinia
Botswana
Brazil
British Indian Ocean Territory
British Virgin Islands
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Bouvet Island
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Keeling Islands
Colombia
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Congo (brazzaville)
Cook Islands
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Denmark
Djibouti
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Dominican Republic
Ecuador
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El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic
Gabon
Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
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Heard and Mcdonald Islands
Honduras
Hong Kong
Howland Island
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Israel-Syria Demilitarized Zone
Italy
Ivory Coast
Jamaica
Jan Mayen
Japan
Jarvis Island (U.S. territory)
Jersey
Johnston Atoll
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kingman's Reef
Kiribati
Korea, Democratic People's Republic
Kuwait
Kyrgyzstan
Laos
Latvia
Latvia
Lebanon
Lesotho
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Libya
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Mali
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Multiple Foreign Countries
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Myotte
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Nepal
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Netherlands
New Caledonia
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Nigeria
Niue
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Northern Mariana Islands (U.S. territory)
Norway
Oman
Pakistan
Palmyra Atoll
Panama
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Paraguay
Peru
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Poland
Portugal
Portuguese Timor
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Reunion
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Russia
Rwanda
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Serbia
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Singapore
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Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich Islands
Spain
Spratly Island
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St. Helena
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Sudan
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Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau Islands
Tonga
Trinidad and Tobago
Tromelin Island
Trust Territory of the Pacific
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Western Samoa
Yemen
Yugoslavia
Zambia
Zimbabwe
Type of visa (if not a US citizen or permanent resident):
Citizenship:
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U.S. Citizen
U.S. Citizen living abroad
Permanent resident
International
Ethnicity (optional):
- None -
American Indian or Alaskan Native
Asian
Black or African American
Hawaiian or other Pacific Islander
Hispanic or Latino
White
I prefer not to respond
Marital status:
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Single
Engaged
Married
Widowed
Separated
Divorced
Spouse's name:
Spouse's Citizenship:
- None -
U.S. Citizen
U.S. Citizen living abroad
Permanent resident
International
Are you an employee or a dependent of an employee of:
- None -
Asbury University
Asbury Theological Seminary
Neither