Guest Application

Notes

What is this block?

This block contains the configuration options for the application. See the GitHub documentation for more information.

Naming Convention

The naming convention 'pageN' is reserved for export keys of non-filtered section breaks on this form. See the GitHub documentation for more information.

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Personal Information

Please do not use your browser's back button. If you need to make changes to the previous pages, please use the back button at the bottom of the form.

Name

First Name

Middle Name

Last Name

Suffix

Preferred Name

Addresses

Permanent Address

Country

Street

City

Region

Postal Code

Mailing Address

Same as Permanent Address

Country

Street

City

Region

Postal Code

Contact Information

Email Address

Home Phone

Cell Phone

Biographical Information

MVNU does not discriminate on the basis of sex in our education programs or activities, which includes employment and admissions. Discrimination based on sex, including sexual harassment, is prohibited under Title IX. The University’s grievance procedure adopted under Title IX can be found here: www.mvnu.edu/officesandservices/office-of-civil-rights. Complaints against a person in the United States can be made to the Office for Civil Rights.

Civil Rights Director/Title IX Coordinator/504 Coordinator
Mailing Address: 800 Martinsburg Rd, Mount Vernon, OH. 43050
Email: titleix@mvnu.edu
On Campus Phone: 740-397-9000 x 3250
Off Campus Phone: 740-399-8250

Cleveland Office
Office for Civil Rights
U.S. Department of Education
1350 Euclid Avenue, Suite 325
Cleveland, OH 44115-1812
Telephone: 216-522-4970
FAX: 216-522-2573; TDD: 800-877-8339
Email: OCR.Cleveland@ed.gov

Sex

Birthdate

Citizenship Information

Primary Citizenship

Dual Citizenship

Social Security Number

(omit dashes) Privacy Protection Policy

Race/Ethnicity: Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.
View Definitions

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Residency Status

U.S. Permanent Resident

Current Visa Type

Personal History

Have you been convicted of a felony?

Yes

No

Please explain the circumstances surrounding the conviction. Give the approximate date of each incident, explain the circumstances and reflect on what you learned from the experience.

Your Plans

When do you plan to enroll?

Indicate the course(s) you are requesting below.
(Course Catalog)

Course 1 (required):

Course 2 (optional):

Please Note: Guest admission is for one term only and to continue further as a Guest Student the student must reapply each term. Guest Admission is limited to two classes, requests for exceptions should be made to the Admisions Office.

Course Fee Structure

Audit (No Credit): $100/ course

For Credit: $980/credit +Material & Fees

Academic History

Were you homeschooled?

Yes

No

Search for your School

Would you like to request your transcripts from your High School?

Yes

No

School Counselor's First Name

School Counselor's Email

Confirmation

I wish to be a guest student at Mount Vernon Nazarene University. I certify that the information on this application is complete and correct, and I understand that the submission of false information is grounds for denial of my application, withdrawal of any offer of acceptance, cancellation of enrollment or any appropriate disciplinary action. I authorize the University to verify the information I have provided with all the schools I have attended. I agree to notify the proper officials of the institution of any changes in the information provided. I give my high school(s) permission to send my official transcript(s) directly to Mount Vernon Nazarene University.

I agree to adhere to the lifestyle guidelines and policies of the University as outlined in the MVNU Student Handbook.

In place of your signature, please type your full legal name:

Guest Application

Notes

What is this block?

Naming Convention

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