Admission Application Anaheim University Admissions Application Anaheim University Admissions ApplicationOffice of Admissions – 1240 S. State College Blvd. Room #110 – Anaheim, CA, 92806, USATel: 714-772-3330 Fax: 714-772-3331E-mail: [email protected] Website: http://www.anaheim.edu Personal DataFirst Name *Middle NameLast Name *Gender (For statistical purposes only) *MaleFemaleOtherNative Language *Date of Birth *U.S. Social Security # (if applicable) *Country of Citizenship *English Language Proficiency (For non-native English Speakers: Fill out one test score)PTEACT COMPASSEikenESOL Exams (incl. Cambridge)TOEFL (iBT)TOEFL (Paper)TOEFL (CBT)TOEICIELTSBULATS (CI only)Home Telephone Number *Work Telephone Number *Fax NumberHomeOfficeFax NumberCell Phone Number *Mailing Address: Street Address/Apt.# *E-mail *City *State/Province *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweProfessional BackgroundCurrent Employer NameOccupation/Job TitleEmployment DurationEmployer Street AddressIs your employer a Global Learning Partner?YESNOI Don't KnowCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweAcademic BackgroundLast Educational Institution Attended *Location *Years Attended *Qualification/Degree Obtained *Subject Area *Other Previously Attended Educational InstitutionLocationYears AttendedQualification/Degree ObtainedSubject AreaEnrollment InformationProgram for which you are Seeking Acceptance *International MBADiploma in International BusinessCertificate in International BusinessMBA in Sustainable ManagementDiploma in Sustainable ManagementCertificate in Sustainable ManagementDoctor of Business Admin (Mgmt)Doctor of Business Admin (Intl Bus)Doctor of Business Admin (Sust Mgmt)Doctor of Business Admin (Entrnrshp)Master of Entreprenuership (ME)MFA in Digital FilmmakingBA in Creative Communications (Film & Entertainment)Ed.D. in TESOLMA in TESOLGraduate Diploma in TESOLUndergrad Diploma in TESOLTESOL CertificateTeaching English to Young Learners CertificateDesired Start Date *Course #(s) of first course(s)Please list any classes that you would like to have considered for transfer credit (graduate degree and diploma programs only)Anaheim University and Disability AccommodationsAnaheim 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 *YESNOIf yes, please provide documentation and detail how your disability can best be accommodated.Payment Information: Application FeeTo 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 [email protected] for further information)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.Signature *Date (mm/dd/yy) *How did you hear about us?Select OptionTVFriendsCollegeVA WebsiteInternetNewspaperOthersPlease explainReferral Code:Application MaterialsPlease 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: Note: File Name must not be longer than 20 letters. Choose a pdf/doc/txt file from your computer with a maximum file size of 5MB.Resume *Choose FileNo file chosenDelete uploaded fileMaximum upload size: 32.00 MBLanguage Score (if applicable)Choose FileNo file chosenDelete uploaded fileMaximum upload size: 32.00 MBTranscript: (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 *Choose FileNo file chosenDelete uploaded fileMaximum upload size: 32.00 MBBrief Statement (MA TESOL only)Choose FileNo file chosenDelete uploaded fileMaximum upload size: 32.00 MBResearch Interests Statement (Ed.D. in TESOL only)Choose FileNo file chosenDelete uploaded fileMaximum upload size: 32.00 MBThree letters of recommendation (Ed.D. TESOL only)Recommendation1Choose FileNo file chosenDelete uploaded fileMaximum upload size: 32.00 MBRecommendation2Choose FileNo file chosenDelete uploaded fileMaximum upload size: 32.00 MBRecommendation3Choose FileNo file chosenDelete uploaded fileMaximum upload size: 32.00 MBDissertation outline (Ed.D. TESOL only)Choose a jpg or jpeg file with a maximum size of 5 MB.Please attach photo here *Choose FileNo file chosenDelete uploaded fileMaximum upload size: 32.00 MBOFFICE USE ONLYApplication Fee Rec.Date (mm/dd/yy)Date (mm/dd/yy)AU SUBMIT