Baker University Online Application
 Thank you for considering Baker University. In order to submit your application for acceptance, please take a few moments and complete the following three pages. Required fields are marked with an *, and you will be asked to complete each page before moving on to the next.

Tell us...about you

Notice of Non-Discrimination
Notice of Accessibility
 * Family Name:
 * First Name:
 Middle Name:
 Preferred First Name:
 * Home Address:
 * Home City:
 * Home State/Region/Providence:
 * Home Country:
 * Home Mailcode:
 Current Address:
  Current City:
  Current State/Region/Providence:
  Current Country:
  Current Mailcode:
 * Male: Female:
 Home Phone:
 Mobile Phone:
 May We Send You An Occasional Text:
 Email Address:
 What is the Best Way to Contact You:
 What is the Second Best Way to Contact You:
 Present Age:
 Date of Birth (mm-dd-yyyy): - -
 Place of Birth:
 Country of Citizenship:
 Language Spoken at Home:
 US Social Security Number (if you have one): - -


Tell us...about your education

 Have you taken the TOEFL examination: Yes   No
 Date of most recent TOEFL test: Score
 Date of other TOEFL test: Score
 Date of other TOEFL test: Score
 Official TOEFL scores must be sent to Baker University directly from Educational Testing Service, Princeton, NJ, USA before this application will be processed. Examinee's record or photocopies are not acceptable.
 For what term are you applying?   Fall   Spring   Summer   Year
 How did you learn English?   
 Our majors and programs are listed below; which ones are you interested in?
 Major #1:
 Major #2:
 List below the high school or preparatory school which you are now attending/attended:
 Name of School:
 Period of Attendance:
 Graduation Date:
 Have you taken any college courses? (Applicant must disclose all institutions attended. Failure to disclose accurate information can jeopardize admission and acceptance of transfer coursework.) Yes No
 If so, please list them below, along with the dates you attended.
 CollegeCityCountryDates AttendedDiploma or Degree Received

 It is the applicant's responsibility to have all official transcripts sent directly to ECE, Educational Credential Evaluators ( from previous institutions. Failure to report enrollment at another institution may result in cancellation of this application or dismissal from the University.
 Do you now have an application of file with any other college or university? Yes No
 If so, give name(s) of school(s)  
      For transfer students only:
      Are you eligible to continue your studies at the last college or university you attended? Yes No
      If not, please explain
      Are you now on academic or disciplinary probation at any college or university? Yes No
      If so, please explain
 Why did you choose Baker University?
 Please list the extracurricular activities in which you have participated and wish to continue or begin in college. (example: sports, music, student government, theatre, student newspaper, etc.)
  High School or
College Activity
Grade Level or
Year of Participation
Positions Held or
Honors Won
Do You Expect to
Participate at Baker?

Immigration Information

 If you are currently in the U.S., what type of visa do you have? F-1 B-2 J-1 other  
 If you are a transfer student from a U.S. college or university, what is the name of the institution that issued your I-20?

  Ethnicity (ethnicity guidelines)
  Are you Hispanic/Latino/Latina?:
  Ethnic Orign:

It is agreed that Baker University has permission to use in its advertising and promotional material any college-sponsored picture/videos(s) in which my likeness appears, as well as any studio or photo/video productions in which I participated.
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