NEW New Student Application

New Student Application

Important Notice

All of the information in this online application is secure and confidential (Toda la informacion en esta solicitud de admision es segura y confidencial).

First name (Primer Nombre)

Middle Name (Segundo nombre)

Last name (Apellido)

Other Names Used, if applicable (Otros nombres usados, si aplica):

State/Province (Estado/Provincia)

Zip/Postcode (Codigo Postal)

Email (Correo Electronico)

Cell Phone (Celular)

Would you like to receive text messages from JMVU? (By submitting the phone number and selecting yes here, you agree to the Privacy Policy and Terms of Service. By signing up for texts, you consent to receive marketing messages or any notifications from JMVU.)

Yes No Not Selected

Birth Date (fecha de nacimiento)

Place of Birth (Lugar de nacimiento):

Please enter city and country of Birth (Por favor incluya el pais y la cuidad donde nacio)

Nationality (Nacionalidad)

Ethnicity (Grupo Etnico)

Student ID photo (Foto de carnet estudiantil)

Start date (Fecha de inicio)

choose language of program (elegir el idioma del programa)

Do you plan to study online? (Usted tiene planes de estudiar en linea)

Yes No Not Selected

Copy of Government issue ID (Copia de la identificacion del gobierno)

Please scan or upload a color picture of your state license or passport (Por favor escanee o suba una a color de foto su licencia o pasaporte)

Social Security Number (Numero de Seguro Social)

This does not apply for students with or applying to an F-1 or M-1 student visa. Students with or applying to an F-1 or M-1 student visa please enter 000000000 (El numero de Seguro Social no es requerido para estudiantes que tienen o estan aplicando para una visa de estudiante F-1 o M-1. Estos estudiantes deben escribir 000000000 en el espacio)

Have you ever applied to JMVU? (A aplicado a la universidad previamente?)

Yes No Not Selected

Are you a JMVU employee? (Es un empleado de la universidad?)

Yes No Not Selected

Are you a U.S. citizen? (Es un ciudadano de E.E.U.U?)

Yes No Not Selected

Are you a Florida resident? (Es un residente de la Florida?)

Yes No Not Selected

Is English your first language? (Su lenguaje principal es el Ingles?)

Yes No Not Selected

If no, what is your first language?

Emergency Contact Information

Contact Name (Nombre de contacto)

Relationship (Relacion)

Cell Phone (Celular)

Work Phone (telefono del trabajo)

Home Phone (telefono de casa)

Employment Information

Educational Information (Informacion de educacion)

What type of education did you obtain? (Que tipo de educacion obtuvo)

Please choose the type of education completed (Por favor escoja el tipo de educacion que completo)

Institution Name (Nombre de la Institucion)

Please write the full name of the institution (Institution is define high school, GED, college, university or any type of postsecondary institution) (Por favor escriba el nombre completo de la institucion) (Institucion se define como High school, GED, Universidad o cualquier tipo de institucion de educacion superior)

State or Country were education was completed? (Estado o Pais en donde completo su educacion)

COPY OF DIPLOMA (COPIA DEL DIPLOMA)

COPY OF TRANSCRIPTS (COPIA DE LAS NOTAS)

Only for graduate students (solo para estudiantes de postgrado)

Previous education information (Informacion de educacion previa)

Are you a first time college student? (Es primera vez que vienes a una institution educativa de educacion superior?)

Yes No Not Selected
This includes institutions attended outside the U.S.(Esto incluye instituciones universitarias fuera de Los Estados Unidos)

If no, please type the name of the institution (Si la respuesta es no, por favor escriba el nombre de la institucion)

If you don't have previous education please write N/A (Si no tienes educacion previa escribe N/A)

If no, please type the name of program completed at the prior institution (Si respondio no, por favor escriba el nombre del programa que completo en la institucion)

If you don't have previous education please write N/A (Si no tienes educacion previa escribe N/A)

Judicial Information

Have you ever had any professional license revoked, suspended, or had any disciplinary action taken against you by a professional regulating body?

Yes No Not Selected
This questions is only required for Master degree applicants.

Have you ever been charged with or subject to disciplinary action for scholastic or any type of misconduct at any educational institution?

Yes No Not Selected
If you answered yes to any of the above, you must submit a full statement of relevant facts on a separate sheet and attach it to this form. You may be required to furnish the University with copies of all official documents explaining the final disposition of related proceedings.

Have you ever been charged with a criminal violation before any forum?

Yes No Not Selected

Do you have any administrative or criminal actions pending before any forum?

Yes No Not Selected

Have you ever been convicted or found guilty, regardless of adjudication, of a crime in any jurisdiction, pleaded nolo contendere (no contest), to any charges in any jurisdiction or have you ever been a defendant in a military court-martial?

Yes No Not Selected

Foreign Student Information (Informacion de Estudiantes Internacionales)

Note: This section is required for all international students applying for an F1 or M1 student visa (Nota: esta sección es requerida para estudiante internacionales que estén aplicando a una visa de estudiante F1 o M1).

Are you an international student that plans to apply for an F1 or M1 student visa? (Eres un estudiante internacional que piensa aplicar para un visa de estudiante F1 o M1?)

Yes No Not Selected

Are you applying for initial attendance?

Yes No Not Selected

Are you applying for change of status?

Yes No Not Selected

Given Name (Primero y segundo nombre)

As it appears in the passport (Como aparece en el pasaporte)

Surname (Apellidos)

As it appears in the passport (Como aparece en el pasaporte)

Preffered Name (Nombre preferido)

This field is optional and it allows names to be written in the order preferred in the person's home country (Este espacio es opcional y le permite al estudiante escribir un nombre preferido)

Foreign cell phone

Out of U.S.A cell (Please include country code)

Foreign work phone

Out of U.S.A work

Foreign home phone

Out of U.S.A number

Foreign Street

FOREIGN ADDRESS FOR INTERNATIONAL STUDENTS

Foreign State/Province

Foreign Zip/Postal Code

Do you have any dependents that will be coming with you to the United States?(Usted tiene dependientes que van a venir con usted a Los Estados Unidos?)

Yes No Not Selected
If yes please provide the information for each dependent (si la respuesta es si por favor llene los datos de los dependientes)

If you answered yes how many dependents will be with you? (Si respondiste si cuantos dependientes vienen contigo?)

Copy of the passport dependent 1(copia del pasaporte para dependiente # 1)

First and last name dependent 1(Primer nombre y apellidos dependiente #1)

Please write name as it appears on passport(por favor escriba el nombre como aparece en el pasaporte)

Date of birth for dependent 1(fecha de nacimiento del dependiente 1)

Age of dependent 1 (Edad actual del dependiente #1)

Copy of the passport dependent 2(copia del pasaporte para dependiente # 2)

First and last name dependent 2(Primer nombre y apellidos dependiente #2)

Please write name as it appears on passport(por favor escriba el nombre como aparece en el pasaporte)

Date of birth for dependent 2 (fecha de nacimiento del dependiente 2)

Age of dependent 2 (Edad actual del dependiente #2)

Copy of the passport dependent 3(copia del pasaporte para dependiente # 3)

First and last name dependent 3 (Primer nombre y apellidos dependiente #3)

Please write name as it appears on passport(por favor escriba el nombre como aparece en el pasaporte)

Date of birth for dependent 3 (fecha de nacimiento del dependiente 3)

Age of dependent 3 (Edad actual del dependiente #3 )

Agency Information (For international students only)

(If you are working with an agent, please complete the fields listed)

Complete mailing address

Agency or Agent's Telephone:

Agency or Agent's fax:

Agency or Agent's Email Address:

Does this person have your permission to receive your I-20 and acceptance letter?

Yes No Not Selected

Student Signature (Firma)

I understand that this application is for admission to Jose Maria Vargas University. I also understand and agree that I will be bound by the regulations of the University concerning admissions requirements and all other University regulations. I further agree to the release of any transcript to this institution. I certify that the information given in this application is complete and accurate, and I understand that making false or fraudulent statements in this application may result in disciplinary action, denial of admission and invalidation of credits or degrees earned. Should any of the information I have given change, I shall immediately notify the Office of Admissions.

New Student Application

Important Notice

General Information

Emergency Contact Information

Employment Information

Educational Information (Informacion de educacion)

Previous education information (Informacion de educacion previa)

Judicial Information

Foreign Student Information (Informacion de Estudiantes Internacionales)

Agency Information (For international students only)

All Applicants