Niche Direct Admission Next Steps Form

Fill out this form to complete your admission. Contact admissions@naz.edu with any questions.

Student Information

Personal Info

First Name

Last Name

Birthdate

Preferred Name

Gender

Personal Pronoun

Social Security Number - Your SSN is used to match with your Free Application for Federal Student Aid (FAFSA). If you choose not to provide the information now, we ask that you provide it as soon as possible. Delays in receiving your SSN will result in delays in receiving a financial aid award.

Contact Info

Email Address

Mobile Number

Send me text messages about deadlines, events, and critical updates. I understand that I will receive important notifications and updates about my application and visit opportunities from Nazareth University. Message frequency may vary. Message and data rates may apply. I can text STOP to opt out at any time.

I would like to receive telephone calls and SMS that deliver AI messages and that provide details about Nazareth University

Home Address

Mailing Address

Country

Street

City

Region

Postal Code

Citizenship Info

Indicate country of citizenship

Are you a Permanent Resident of the United States?

Parent/Guardian Contact Information

Relationship to Student

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Mobile Number

Have either of your parents earned a bachelor's degree or higher?

Yes

Do you have a parent, grandparent, or sibling who graduated from or is currently attending Nazareth University?

Yes

Which Relation Attended Nazareth?

Name of parent, grandparent, or sibling:

High School Information

High School

High School GPA

GPA Scale
(eg. Your GPA is 3.8 on a 4.0 scale or your GPA is 90 on a 100 scale)

Please upload a copy of your high school transcript. If you do not upload a copy now, you will need to provide one to admissions@naz.edu as soon as possible. Delays in sending a copy of your transcript will delay your admission decision.

Program Information

Which program are you applying to?

You have chosen a major that can go through an optional portfolio review process to receive additional scholarships. More information can be found on our website

I understand I have the option to do a portfolio review for additional scholarship consideration

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in disciplinary action?

Yes

Please explain:

Will you be living on campus?

Yes

Will you be living with family?

Yes

To the best of my knowledge, the information I have given in this application is true. I understand that misrepresentation of facts on this application will be cause for admission denial, cancellation of admission, or suspension from the institution. By signing this application, I agree to abide by the written policies and regulations of the institution.

(Type Signature Below)

Nazareth University is an equal employment opportunity employer. The University does not permit discrimination or harassment in its programs and activities on the basis of race (including traits historically associated with race), color, creed, national origin, ancestry, sex, gender, gender identity, gender expression, sexual orientation, age, religion, disability, medical condition, reproductive health decision making, pregnancy-related condition, genetic information or predisposing characteristic, military or veteran status, political affiliation or belief, arrest or conviction record, domestic violence victim status, marital status, familial status, or any other protected status under applicable law. The University does not discriminate on the basis of sex or gender in its educational, extracurricular, athletic or other programs or in the context of employment.