anaheim.edu

Anaheim University Admissions Application

Anaheim University Admissions Application
Office of Admissions - 1240 S. State College Blvd. Room #110 - Anaheim, CA, 92806, USA
Tel: 714-772-3330 Fax: 714-772-3331
E-mail: admissions@anaheim.edu Website: http://www.anaheim.edu

Note: File Name must be not be longer than 20 letters.
Choose pdf/doc/txt from your computer with a maximum file size of 5MB.

Personal Data

(*Indicates Required Field)

Last Name *
First Name *
Middle Initial
Gender (For statistical purposes only) *

Male Female
Native Language *
Date of Birth *
U.S. Social Security # (if applicable)
Country of Citizenship *
PTE
ACT COMPASS
Eiken
ESOL Exams (incl. Cambridge)

TOEFL (iBT)

TOEFL (Paper)
TOEFL (CBT)
TOEIC
IELTS
BULATS (CI only)
Home Telephone Number *
Work Telephone Number
Fax Number Type

Home Office

Fax Number
Cell phone Number *
Mailing Address: Street Address/Apt.# *
E-mail *
City *
State / Province / Prefecture *

Zip/Postal Code *
Country *

Professional Background

Current Employer Name
Occupation/Job Title
Employment Duration
Employer Street Address
Is your employer a Global Learning Partner?

YES NO I Don't Know
City
State / Province / Prefecture
Country
Zip/Postal Code

Academic Background

Last Educational Institution Attended *
Location *
Years Attended *
Subject Area *
Qualification/Degree Obtained *
Other Previously Attended Educational Institution
Location
Years Attended
Subject Area
Qualification/Degree Obtained

Anaheim University and Disability Accommodations

Anaheim University will make reasonable provision for students with learning or other disabilities. Do you have a disability you would like the University to accommodate? Please check

YES NO

If yes, please provide documentation and detail how your disability can best be accommodated.

Payment Information: Application Fee

To complete the application process, Anaheim University must receive a one-time application fee of $50 (certificate and undergraduate diploma programs) or $75 (degree programs) at the time the application is submitted. This fee is non-refundable after five days. Please indicate the method of payment you would like to use *

Credit card (please click the link to the credit card form below.) Check (please mail to Anaheim University, Office of Admissions Room 110, 1240 S. State College Blvd., Anaheim, CA 92806) Bank transfer (please contact registrar@anaheim.edu for further information)

Please note the application process will not be complete until the application fee is received. To download the credit card form, click here. Please email your completed form to support@anaheim.edu or fax to US 714-772-3331.

Important Notice regarding the Family, Educational Rights and Privacy Act: In accordance with the Family, Educational Rights and Privacy Act of 1974 (section 438 of Public Law 93-380). Information in these records may not be released to a third party without the written consent of the student.

This is to certify that all of the information presented in this application is true and correct at this time and that I will send timely notice to the University of any significant change in the information presented herein. I understand that this is an application for enrollment and that the University does not guarantee my acceptance into any Anaheim University program. I have read and fully understand all Anaheim University policies and procedures. I also understand that the University reserves the right to change admission standards, tuition fees and other fees, graduation requirements, and any and all academic and administrative policies or course schedules during my term of study.

I confirm that by typing my name in the Signature Box below, that this will serve as my electronic signature.

Signature *
Date (mm/dd/yy) *

How did you hear about us? *
Please explain
Referral Code:

Application Materials:

Please upload copies of your application documents in either PDF or Microsoft Word formats. Various programs require different documents; check the entrance requirements for the specific documents needed for your chosen program.

NOTE: All documents must be submitted in English. Students submitting official documents that are written in a language other than English must ALSO submit an official version that has been translated into English by an official translator.

Note: File Name must be not be longer than 20 letters.
Choose pdf/doc/txt from your computer with a maximum file size of 5MB.

Resume

Maximum upload size: 32.00 MB

Language Score (if applicable)

Maximum upload size: 32.00 MB

Transcript: (Scanned copies may be uploaded to keep the application process moving forward while waiting for the official transcripts to arrive in the mail from your university).

Note: If the university does not routinely issue transcripts in English, original language records must be submitted with official English translations. We will accept translations issued by the university or a professional translating service. Translations must be exact and complete versions of the original records.)

Transcript

Maximum upload size: 32.00 MB

Brief Statement (MA TESOL only)

Maximum upload size: 32.00 MB

Three letters of recommendation (Ed.D. TESOL only)

Recommendation1

Maximum upload size: 32.00 MB

Recommendation2

Maximum upload size: 32.00 MB

Recommendation3

Maximum upload size: 32.00 MB

Dissertation outline (Ed.D. TESOL only)

Dissertation outline

Maximum upload size: 32.00 MB

Please attach photo here *

Maximum upload size: 32.00 MB Choose jpg or jpeg with maximum 5 MB.

OFFICE USE ONLY

Application Fee Rec.
Date (mm/dd/yy)
Date (mm/dd/yy)
AU

Enter the sum of these values 9+2= Ex.: 4+3=7

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