Admissions Application Form – American Islamic University

Choose Semester *

Name as it appears on Identification card and passport. *

First

Middle

Last

Select the Degree (Program of Studies) of your Choice— You can change it later, after admissions as well.. *

Legal Name as appears on Identification card and passport *

Mailing Address *

Permanent Address: If address above is temporary, please list permanent mailing address below. Non U.S. Citizens living in the U.S., please provide current U.S. mailing address: *

Email *

Confirm Email

Date of Birth * MM/DD/YYYY *

Home Phone including country and area code Mobile (Cell) Phone including country and area code * *

Gender *

U.S. Social Security Number (Leave blank, if no Social Security number) *

Foreign Country Identification number or Tax number (If from a foreign country)

Are you Currently living in the United States with an Immigrant or Non- Immigrant Visa? Provide Details below.

If it is an immigrant and or student visa, what is the name of the U.S. School that issued your Visa?

Current I-20 If known, what is the anticipated release of your SEVIS records?

If you have a different kind of visa, please list it here (F-2, B1/B2, R2, etc.)

Visa Number

Visa Issue Date

MM/DD/YYYY

Visa Expiry Date

MM/DD/YYYY

I attended an accredited college/university in the United States and will transfer a College English course to AMISUN. If yes, please list college and course taken

Is English your first language? *

If English is not your first lenguage, please specify what language you speak at home?

ENGLISH LANGUAGE PROFICIENCY TOEFL/IELTS is required for International (Non U.S.) students who have not taken the ACT or SAT exam. What English Proficiency Exam have you taken? *

I plan to take/have taken the SAT exam. SAT Exam Date: (DD/MM/YYYY) *

I plan to take/have taken the ACT exam. ACT Exam Date: (DD/MM/YYYY) *

I plan to take/have taken the TOEFL exam. TOEFL Exam Date: (DD/MM/YYYY) *

I plan to take/have taken the IELTS exam. IELTS Exam Date: (DD/MM/YYYY) *

I attended an accredited college/university in the United States and will transfer a College English course to AMISUN. If yes, please list college and course taken

Write course name, grade, and details exactly as it appears in the transcripts.

Are you a U.S. citizen or National? *

If not a u.s. citizen or a permanent resident, write the name of your country of citizenship?

PARENT EDUCATIONAL LEVEL-What is the highest level of education completed by Parents? *

How do you plan to pay for your education at AMISUN University? (Check all that applies)

Self
Family Member
Scholarship
Sponsor

Did you, or will you, receive a GED ? Yes No Date of GED (ONLY APPLIES TO AMERICAN STUDENTS OR WHO ARE IN THE USA), Other leave it blank…

Year of Graduating High School *

High School Graduation Date *

MM/DD/YYYY Format

Graduating High School Name *

Complete Address of Graduating High School *

COLLEGE Transfers, list all schools attended beyond high school, if applicable. You are required to list each college/university at which you have taken courses for credit, regardless of whether those courses appear on another college’s transcripts. Failure to do so could be grounds for disqualifications for admission.

College name- Dates of attendance- semester credits- Degree (if any) (Please use the same order as provided in this list)

Total University Credit hours and Cumilative Grade Point Average/ Non- GPA system, please provide Division of your academic achievements.

HONORS & ACHIEVEMENTS Briefly list any academic distinctions or honors you have received since the 9th grade or international equivalent (e.g. National Merit, Cum Laude Society). For each honor, you must specify at least one grade and one recognition level

EXTRACURRICULAR ACTIVITIES Please list your principal extracurricular, community, volunteer and family activities and hobbies. Include specific events and/or major accomplishments such as musical instrument played, varsity letters earned, etc.

Name of Activity, Activity Details (years, accomplishments etc.)

UNITED STATES MILITARY BACKGROUND If you or any member of your immediate family has served or are serving in the US Armed Forces, please fill out the information below. (i.e. U.S. Navy, U.S. Marine Corps, U.S. Army, U.S. Air Force, U.S. Coast Guard, etc.) This excludes all dishonorable discharged status. (Provide details in the box below) NON AMERICAN SRUDENTS LEAVE IT BLANK AND TYPE N/A

AMISUN University seeks students who are serious about their faith and will benefit spiritually from their time at AMISUN. Do you consider yourself to be a Muslim? (Any Muslim denomination, including Shia) *

DISCIPLINARY HISTORY– Have you been convicted of a crime other than a traffic violation in the last seven years? *

If “yes” please give details of conviction. A conviction will not necessarily disqualify you for admission. *Note: AMISUN University reserves the right to ask for further explanation if the included explanation does not suffice. If you have selected “Yes,” please give the approximate date of each incident, explain the circumstances, and reflect on what you learned from the experience. *

If No background History, Please write N/A otherwise list details and explain circumstances which led to the situation. A conviction does not disqualify the applicant from admissions automatically. AMISUN reviews each situation individually and makes details after careful considerations.

Additionally, in 50 words or less, please share why you are interested in attending AMISUN University. *

We recommend typing the statement in Word format and then Copy/ Pasting it in this application.

Applicant Certification By signing, I confirm: ✓ All information in this application is my own work, complete and truthful ✓ I authorize AMISUN to verify my academic records ✓ I understand false information may result in: Admission revocation Expulsion Other disciplinary actions *

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. *

I understand that an offer of admission is conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based. *

Your Social Media Account name or Number

DISCIPLINARY HISTORY– Have you been convicted of a crime other than a traffic violation in the last seven years? *

If yes, please provide the nature of the issue and details. (A conviction does not disqualify the applicant from admissions as a student).

ADMISSIONS ESSAY Your 250-550 word eassy. you may copy and paste a word file or type directly below. The essay will give us informaiton about your interest in Islamic educaitonn as well as your interest at AMISUN. *

AMISUN Community Commitment By applying, I understand AMISUN provides a faith-based learning environment where all students agree to: Behavioral Expectations: ☐ Practice personal spiritual growth ☐ Show respect for all community members ☐ Maintain academic and personal integrity ☐ Avoid prohibited substances (alcohol, drugs, tobacco) ☐ Follow Islamic ethical guidelines I acknowledge that: • AMISUN welcomes students of all faiths while maintaining its Islamic character • The university may dismiss students who violate community standards • Full policies are available at [website link] Non-Discrimination Policy: AMISUN admits students of any race, color, national origin, gender, age, or disability. *

I have read, understand and agree to uphold the AMISUN Community Standards as summarized above *

SIGNATURE — Your signature is your confirmation that the application you have filled out is your own work and the information is factually true. *

Please type your name here- It is imperative that an online typed name is considered equal to a signature.

Today's Date *

MM/DD/YYYY

Communication Permission By applying, I agree that AMISUN University may contact me via: ✓ Email ✓ Phone ✓ Text (standard rates may apply) ✓ Mail I understand I can unsubscribe from any method by contacting admissions@amisun.edu. [ ] Check this box to confirm your agreement *

Safety & Submission Guidelines Annual Security Report AMISUN's Campus Safety Report, including crime statistics and policies, is available at: [www.AMISUN.education/campus-safety/clery] By submitting this application, you acknowledge receipt of this notice. Application Checklist Complete all form fields Submit your personal essay (250-550 words) Arrange for official transcripts to be sent to: AMISUN University Admissions 3944 W. Alabama St., Ste 2 Houston, TX 77027 USA Confirmation I verify that I have read and understand these requirements. Printed Name: ___________ Date: //_____ *

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