Marianist Exchange Program (MEP) Application
Purpose

This application is for students of University of Dayton and Saint Mary's University to apply to Chaminade's exchange program.

Required fields are shaded in red.

General Information
First Name   A value is required.
Middle Name  
Last Name   A value is required.
Nickname
Name you prefer to be called
 
Gender  
A value is required.
Date of Birth   (mm/dd/yyyy) Invalid format. Use the format mm/dd/yyyyA value is required.
Place of Birth  
Religious Preference  
Ethnicity   Please select an item.

Please select all ethnicities that apply to you:
(hold down the CTRL key to select more than one)

Other, please specify: A value is required.
Citizenship




Please indicate your citizenship.
State or Territory of Residence
 
Please select an item.
Social Security Number   A value is required.Invalid format.
      What is your Country of Citizenship?
Please select an item.
      Do you require an I-20 VISA to study in the U.S.?
A value is required.
      For students previously issued an I-20: SEVIS ID# A value is required.
Contact Information
Home Phone   A value is required.Invalid format.
Cell Phone   Invalid format.
Fax   Invalid format.
Email   A value is required.Invalid format.
Mailing Address
Street Address   A value is required.
City   A value is required.
State   Please select an item.
Zipcode / Postal Code   A value is required.Invalid format.
Permanent Address (if different from your mailing address)
Street Address  
City  
State  
Zipcode / Postal Code  
Academic Information
Full or part time?  
A value is required.
For what semester are you applying?  
A value is required.
For what year are you applying?   Please select an item.
Do you plan to live on-campus?   (NOTE: On-campus housing is not guaranteed upon acceptance to Chaminade University)

A value is required.
Do you intend to apply for financial aid?   (NOTE: Priority deadlines for financial aid are March 1st for the Fall term and October 1st for the Spring term)

A value is required.
Current School Information
Name   Please select an item.
Since   Please select an item.
Please select an item.
Major   A value is required.
Degree   A value is required.
Application Certification

This application is not official unless it bears your name in the space below.

I hereby certify that the information contained in this application is complete and correct to the best of my knowledge.

Name   A value is required.
Date   04/24/2014
Security Verification
Security Verification - Please retype
Listen to security code
This code is used to prevent malicious automated programs (bots) from mis-using this form.
Please re-type the code: A value is required.Minimum number of characters not met.

If you have any questions please do not hesitate to contact Admissions at (808) 739-8340 or 1-800-735-3733.

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