QuickApp

First Name

Middle Name

Last Name

Birthdate

Gender

Citizenship

U.S. Permanent Resident

Yes

Expected Visa

Student Visa (F1)

Other Visa

Shirt Size

(For potential giveaways and promotions)

Contact Information

Email Address

Phone Numbers (Select all that apply)

Mobile Phone

Home Home

Mobile Phone

Home Phone

Would you like to receive updates via Text Messaging?
(message and data rates may apply)

Yes

To unsubscribe from text messaging, simply reply to a message with one of the following:

STOP, STOPALL, UNSUBSCRIBE, CANCEL, END, and QUIT: These replies will unsubscribe your phone number
START and YES: re-subscribes the phone number
HELP and INFO: returns instructions about what other commands are available

Mailing Address

Country

Street

City

Region

Postal Code

Enrollment Information

When would you start at Southern?

When I start I will be ...

What high school will you/did you graduate from?

What Academic Program are You Intending to Pursue?

Parent/Guardian Information
DeleteParent Information _ID_
Relationship Type First Name Last Name Email Mobile Number We live at the same address? We live at the same address? Yes No Mailing Address Mailing Address Country Street City Region Postal Code

Add Parent

Personal Background

Have you ever been dismissed or ineligible to return to school?

Please provide a short explanation.

Southern Adventist University supports second chances. Acknowledging a prior dismissal does not automatically disqualify you from admission. Southern will perform an additional review process, however. After this initial review is completed, you will be notified of the results; you will also be able to find the details on your application status page.

Have you ever been convicted of a misdemeanor or felony?

Please provide a short explanation.

Thank you for informing us about any prior convictions. We want you to know that acknowledging your history does not automatically disqualify you from admission. Southern will perform an additional review process, however. After this initial review is completed, you will be notified of the results; you will also be able to find the details on your application status page.

Certifications and Signature

Student Life Pledge:

As a student at Southern Adventist University, I will consistently commit myself to academic, spiritual, social, personal, and corporate responsibility. I will follow directions in the university catalog and apply my best effort to my academic program with inquisitiveness, propriety, honesty, and integrity. I will abide by the codes of conduct outlined in the student handbook and promote the same conduct among my peers. I will honor the university mission of seeking and teaching truth as revealed by Jesus Christ in the Bible. I will balance work, study, and recreation with Sabbath rest and spiritual enrichment. I will show respect for all members of the university community—their lives, property, and environment. This includes recognizing every individual as an infinitely valuable child of God, respecting diversity, participating in community service, and using communication technologies ethically. I will develop high standards of personal health, wellness, and entertainment and will promote the same for other members of the university community. I will avoid alcohol, tobacco, improper drug use, and sexual activity outside of Biblical marriage. I will become an active participant in the corporate life of the university, taking initiative to meet all my duties under its regulations. This participation includes financial obligations, program and class attendance, appropriate dress and decorum, vehicle procedures, and fulfillment of my designated role as a member of this residential community.

Image Release

I authorize the use and reproduction by the university, or anyone authorized by the university, of any images taken of me while enrolled at Southern, whether distributed by print medium, video, DVD, Internet, television, or any other mode or medium, whether now existing or subsequently developed. All such images, however stored, shall constitute Southern Adventist University property, solely and completely, and I shall be entitled to no compensation for the use of my image. This authorization shall include without limitation university publications and advertising and classroom video taping.

Academic Records

I authorize release of my transcripts, standardized test scores, and other educational records from all institutions listed in this application to Southern Adventist University. I understand that this consent will remain in effect for the purpose of processing my application until revoked in writing.

Application Certification

I certify that all of the information submitted in the application is my own work, factually true, and honestly presented. I authorize all schools attended to release all requested records and authorize review of my application. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false.

Sign your application by typing your full legal name:

QuickApp

Thank you for your interest in Southern Adventist University!