Stevens 2009 Undergraduate Application
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Application Information


Full Name
 
Salutation:

Mr. Mrs. Ms.
   
First (Given)*:

   
Middle:

   
Last (Family)*:

   
Permanent Address
 
Street*:

   
City*:

   
State/Prov.*:

   
Zip Code*:

   
Country*:

   
County (If NJ resident)*:

   
Phone number:

   
Cell Phone:
   
Fax number:

   
E-mail*:

   
Mailing Address (If different from above)
 
Street:

   
City:

   
State/Prov.:

   
Zip Code:

   
Country:


Applicant Status
 
Are you applying as a*:  

   

*The Early Decision I deadline is November 15; Early Decision II deadline is January 15. Download an Early Decision agreement form (PDF, 35KB).

 

When will you begin your studies here?*  
 

Do you plan to be a campus

resident or commuter?
 

Have you applied to Stevens before?

Yes, Year Applied

 
Did you have an interview on or off campus?

Yes No
 

Are you applying for financial aid?

Yes No
 

To what other colleges have you applied?  

 

General Information
The following six items will not affect an admissions decision
 
Sex:
   
Place and Date of Birth  
   
Date:

/ /

   
City:

   
State:

   
Country:

   
Citizenship*  
   
U.S.
   
U.S. Permanent Resident
 Alien Registration Number
   
Non-U.S.
   
 
Country of Birth:

     
 
Country of Citizenship:

     
 
Type of Visa Held:


The following information is not required. Certain questions are requested so that Stevens can comply with U.S. Department of Education reporting procedures. Other questions allow us to assess the need for special programs or activities. None of the information provided serves as a basis for admission.

How would you describe yourself?
 

Are you a US Armed Forces Veteran? Yes No

 

Educational Information
High School
 
Name*:  
   
Address*:  
   
Date of Graduation*:  
 /
   
High School Code : 
 Look up your high school's code
   
Guidance/College Counselor
 
Name:  
   
Phone Number:  
   
Academic and Standardized Test Scores
 
Which test have you taken/plan to take?
 SAT I or ACT
   
Test dates taken or planned:   
   
 
   
 
   
Best SAT I Math Score:  
   
Best SAT I Critical Reading Score:  
   
Best ACT Composite Score:  
   
Best TOEFL Score:  
   
Grade Point Average (GPA):  
   
Rank:  
 in a class of

 

Transfer applicants must complete this section.
Colleges and universities attended (most recent first).
 
Institution
  
Location
  
Dates Attended
  
Program/Degree Awarded
 
 
 
             
 
 
 
             
 
 
 

 

Family Background
Father
 
Name:  
   
Address:  
   
Occupation:  
   
Employer:  
   
  

Highest Education Level Completed/Degree Earned:
   
Phone Number:  
   
E-mail:  
   
Mother
 
Name:  
   
Address:  
   
Occupation:  
   
Employer:  
   
 

Highest Education Level Completed/Degree Earned: 
   
Phone Number:  
   
E-mail:  
   
Family or friends who are Stevens Alumni
 
Name:  
   
Class Year:  
 Relationship:
   
Name:  
   
Class Year:  
 Relationship:

Academic Plans
Select your first and second choice study plans, if applicable.
First Choice*:
Second Choice:

 

Activities, Leadership, Sports and Academic Schedule
 
List any activities, club involvement, work experience, community service, varsity sports or other sports:
  
Grades participated (9, 10, 11, 12):
If sport, please indicate if varsity
Leadership position held, honors won, or letters earned:
Plan to continue in at Stevens?
           
 
Yes No
Yes No
           
 
Yes No
Yes No
           
 
Yes No
Yes No
           
 
Yes No
Yes No
           
 
Yes No
Yes No
           
 
Yes No
Yes No
           
 
Yes No
Yes No

 

Personal Statement
 Please tell us more about yourself by providing a brief personal statement.
You may download a PDF document (PDF, 32KB) (print out and mail to the Office of Admissions) or fill out an online form.
 
Certification
By entering your full name and today's date below, you confirm that all of the information contained in this application is factually correct and honestly presented. You also confirm that any omission or misrepresentation of facts or failure to furnish information to the Office of Undergraduate Admissions will automatically invalidate consideration of this application and/or acceptance to Stevens Institute of Technology. You also recognize that all information forwarded in support of the application for admission (i.e. videos, photographs, etc.) becomes the property of Stevens and will only be kept for this application year and will not be returned to or shared with the applicant. You further understand that upon enrollment, you are expected to become familiar with and abide by the student rules and regulations as set forth in the Stevens Institute of Technology Undergraduate Catalog.
 
Name *   Date *
 
Re-type Name for Confirmation *
 

If you wish to submit this completed application electronically now, press

If you wish to reset this form to its initial, unfilled state, press

 
Stevens Institute of Technology does not discriminate against any person because of race, creed, national origin, sex, age, marital status, handicap, liability for service in the armed forces or status as a disabled Vietnam-era veteran.
 
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