Loyola University Chicago Application for Undergraduate Admission

Term

Applicant Information

First Name

Middle Name

Last Name

Preferred name

Phone number

Cell phone number

Permission to send text messages?

Yes

Email Address

Birthdate

Gender

Social Security number (Optional)

Mailing Address

Address

Country

Street

City

Region

Postal Code

Citizenship

Country of birth

US permanent resident?

Yes

No

Visa Type - Please select the visa you will be on to attend Loyola. If you are an undocumented student, a student eligible for deferred action or are uncertain, please select 'Other'.

Ethnicity (optional)

Are you of Hispanic or Latino descent?

Yes

No

Parent or Guardian 1

First Name

Last Name

Relationship to you

Street Address

City

State or other Region

Postal Code

Country

Phone number

Email Address

Highest level of education

Parent or Guardian 2

First Name

Last Name

Relationship to you

Street Address

City

State or other Region

Country

Postal Code

Phone number

Email Address

Highest level of education

Family Information

Are you the first member of your family to attend college?

Yes

No

Do you have any family members who are Loyola alums?

Yes

No

What is his or her name?

What is his or her relationship to you?

Academic Interests

What are you interested in studying? (If you're not sure, select "Undecided".)

Are you interested in one of our pre-professional programs? If so, please select from the list below.

High-school Information

Look up high-school

High-School Code
International students may enter "INTL HS" as a code

Look up previous high-school

High-School Code
International students may enter "INTL HS" as a code

College Information

Have you taken any classes for college credit?

Yes

No

Look up college

College Code
International students may enter "INTL" as a code

Test Scores

Please enter your highest composite score for the ACT and/or SAT test. If you have not yet taken and ACT or SAT test, please leave this section blank.

ACT date

ACT composite score

SAT date

SAT composite score (Math and Critical Reading sections only)

Co-curricular Activities

You are encouraged to submit a resume or complete the following to share with the admission committee your list of activities and leadership roles. These may be activities you are involved with in school or your community and may include part-time job experience as well.

Please note: After you have submitted your application, you will receive information on how to access your application status page. On your application status page, you can upload an optional resume and/or an optional personal statement to your file.

How many activities would you like to tell us about?

Activity 1 Organization

From (year):

To (year):

Activity 1 Role

Activity 2 Organization

From (year):

To (year):

Activity 2 Role

Activity 3 Organization

From (year):

To (year):

Activity 3 Role

Activity 4 Organization

From (year):

To (year):

Activity 4 Role

Activity 5 Organization

From (year):

To (year):

Activity 5 Role

Activity 6 Organization

From (year):

To (year):

Activity 6 Role

Activity 7 Organization

From (year):

To (year):

Activity 7 Role

Activity 8 Organization

From (year):

To (year):

Activity 8 Role

Activity 9 Organization

From (year):

To (year):

Activity 9 Role

Activity 10 Organization

From (year):

To (year):

Activity 10 Role

Miscellaneous

Have you ever been dismissed, suspended, or placed on probation for student judiciary or disciplinary matters?

Yes

No

If yes, please use the box below to provide an explanation.

Have you ever been dismissed, suspended, separated from school, or placed on probation for academic reasons?

Yes

No

If yes, please use the box below to provide an explanation.

Have you ever been charged and/or convicted of a crime other than a misdemeanor or traffic violation? Or, are there any pending charges against you other than a misdemeanor or traffic violation?

Yes

No

If yes, please use the box below to provide an explanation.

Certification

I understand that all confidential recommendations connected to this application will be used solely to evaluate my application, and will not be disclosed to anyone, including myself.

I certify all information in my application is accurate and my own work (including brief samples and other materials submitted). I authorize the verification of my credentials for admission. I understand and agree that any misrepresentation or omission of facts in my application will justify the denial or the rescission of admission. If I am admitted, I will comply with all the rules, regulations, and policies of Loyola University Chicago, and that my admission, matriculation, and graduation are subject to the control of the authorities of Loyola University Chicago.

I certify that Loyola University Chicago may publish, for public relations and marketing purposes, my photograph, or photographs and videos in which I appear.

I give Loyola University Chicago permission to request my high school transcript.

I understand that if admitted to Loyola University Chicago, a $500 enrollment deposit is required to secure my space in the incoming class. The deposit is refundable through May 1, 2017.

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

Signature

Date