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Franklin University

   Undergraduate Admission Application

If you prefer not to submit this form online, you may fill in the fields and then print the application using your browser's Print button. In this case, be sure to answer all questions completely and mail it to Student Services, 201 South Grant Avenue, Columbus, Ohio 43215, or fax it to 614-224-8027.

Intended trimester of enrollment Fall Winter Summer   Year 

Social Security number 
 Date of Birth --

Section A - Personal Data

Title Mr.  Mrs. Ms.

Last Name     First Name
Middle Name     Maiden Name
Former Name        

Address  

City  

County  

State  

Zip  


Home Phone     Work Phone
Cell number     E-mail address

Are you currently in the U.S. Armed Forces or a Military Family Member?
Yes No

Section B - Programs of Study

Choose your intended 1st major

choose
from
only
one		 curly brace (1085 bytes)


Choose your intended 2nd major

choose
from
only
one		 curly brace (1085 bytes)

Choose your minor


Will primarily be taking classes at:


How did you hear about Franklin?

My status will be new freshman (never attended a college)
new transfer (earned credit from another college)
new non-degree (not seeking a degree)
previously attended Franklin University

The following information is requested to comply with U.S. Department of Education reporting requirements and for University research purposes. This information will NOT be used for admission or financial aid decisions.

Male  Female           Are you married? Yes No  

Are you

If you would like to receive information about disability services, please contact Carla Waugh at (614) 797-4700, 1-877-341-6237 or WaughC@franklin.edu.
Are you an honorably discharged veteran? Yes  No
Do you plan to use veteran benefits? Yes  No
Are you a U.S. citizen? Yes  No

If not a U.S. citizen, complete this section; otherwise go to the next section.

Select your immigration classification:

Permanent resident Student visa holder Refugee Other 

(copy of green card required)

(Print out and send in the
International Application)

    
Was English the language of instruction in your schools? Yes   No
Is English your first (primary) language? Yes   No
Was English spoken in your home? Yes   No

Permanent Resident Alien Registration number #A

Country of origin

 

Section C - Employment Data

Do you work  

Part time   Full time    Unemployed

Company Name

 

Section D - Academic Data

HIGH SCHOOL

Please check one and provide appropriate date

Graduated from high school  Expect to graduate from high school  Received a GED
High School Name City State Year Last Attended

COLLEGE: Please list all colleges you are currently attending or have attended.

Additional Colleges Attended
College, City
State
Degree Awarded
Year Last Attended

 

Section E - Additional Information

IN CASE OF EMERGENCY, CONTACT

Name     Phone
Relationship    

Address  

City  

County  

State  

Zip  

I certify that the information on this application and any materials I provide pertaining to my admission and/or financial aid is, to the best of my knowledge, complete, accurate and true. I authorize Franklin University and each college or school I have attended to release and share information and records in accordance with the Family Educational Rights and Privacy Act (FERPA). I agree to submit other materials required for this admissions application. I release Franklin University and anyone they contact with reference to the application from any and all liabilities from use of such information.

I also agree that I must abide by all rules, regulations and policies of Franklin University as described in, but not limited to, the Franklin University Bulletin and will be subject to the Franklin University Student Code of Conduct. I agree that if, in the judgment of Franklin University, any misrepresentation or omission has been made in this application or related materials, such misrepresentation or omission shall be sufficient cause for rejection prior to admission, and dismissal if I am admitted as a student.

Please check the following box to indicate your affirmation of the above statements.

If submitting by mail or fax, print application and sign below:

Student signature _____________________________       Date _________________
 


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