Direct Admission Form

Academic Program

Major*

Race/Ethnicity

Are you Hispanic or Latino?

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:

Religious Preference

Disciplinary History

Have you ever been convicted of, or pled guilty or no contest to, any misdemeanor, felony or other crime other than parking violations, or are there such charges pending against you at this time? Under Virginia law, when answering the above statement, you may disregard Virginia arrests, charges or convictions for simple marijuana possession without intent to distribute.

Yes

No

If you answered "yes" to the above question, please explain.

Have you ever been placed on probation by, or suspended, dismissed, or expelled from, any school, college or university?

Yes

No

If you answered "yes" to the above question, please explain.

Confirmation

This signature is your confirmation that the application you have filled out is your own work and the information is factually true. After your application is processed, you will receive a letter detailing your next steps.

Signature:*

Date:

Round

Application Source

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App Admit Type

Person Admit Type

Entry Term

Anticipated Entry Term

Submitted Flag

Pre-Acceptance Application

Housing Plan

Decision Plan

Test Optional

Course Load

Citizenship

High School Level

Direct Admission Form

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