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Apply to Benedict College

Office of International Programs
Benedict College
MSC 48, 1600 Harden Street
Columbia, SC 29204

Term/Program Selection

Term of Enrollment*

Major*

Application Status

I am applying as a:

Personal Information

Legal Name*: First Name Middle Name
Last Name Suffix

Full Home Address*:

Street Address

City , State / Province (If applicable)
Postal / Zip Code
Country
Phone Number* (Include country code)
E-mail Address*

Date of Birth*
Country of Birth*

Gender*

Have you ever been convicted of a crime?*  Yes No
If yes, please provide a detailed explanation including the nature of the charges:

Parent/Legal Guardian Information

Please complete this section so we have emergency contact information on file.

Mother's Full Name*: First Name Middle Name
Last Name Suffix

Street Address (If different from yours)

City , State / Province (If applicable)
Postal / Zip Code
Country
Phone Number (Include country code)
Mobile Phone Number (if applicable) (Include country code)

Father's Full Name*: First Name Middle Name
Last Name Suffix

Street Address (If different from yours)

City , State / Province (If applicable)
Postal / Zip Code
Country
Phone Number (Include country code)
Mobile Phone Number (if applicable) (Include country code)

Citizenship

Permanent Resident Alien: If a Permanent Resident Alien, please send to the Office of International Programs a copy of the front and back of your Permanent Resident Card. If on another visa status, send a copy of your I-94 Arrival/Departure Record, or receipt notice that verifies your current status.

What is your citizenship status?*
Country of Citizenship*
Social Security Number If applicable

Visa Status

Do you have a current U.S. visa?*  Yes No
If yes, what type?
When does this visa expire?

Ethnicity/Race

Benedict College is required to collect information on the ethnic and racial composition of its student body and report this information to the U.S. Department of Education. However, you are not required to report this information on this application.

Are you Hispanic/Latino?  Yes No
Select one of the following:
If Other, Specify:

Religious Affiliation

This information is completely voluntary and is not used as a factor for admission nor is it used in any discriminatory manner.


If other, please specify:

Educational Background

1. High School Institution Attended:*
Institution Address*

City , State / Province (If applicable)
Postal / Zip Code
Country
Phone Number* (Include country code)
Dates Attended:* to
Graduated?*  Yes No

2. Other Secondary Institution Attended (If applicable):
Institution Address

City , State / Province (If applicable)
Postal / Zip Code
Country
Phone Number (Include country code)
Dates Attended: to
Graduated?  Yes No

3. Other Secondary Institution Attended (If applicable):
Institution Address

City , State / Province (If applicable)
Postal / Zip Code
Country
Phone Number (Include country code)
Dates Attended: to
Graduated?  Yes No

Extracurricular Activities

Please list your involvement, if any, in the following activities. Athletics/Sports:

Clubs/Organizations:

Other:

Admission Entrance Exams

Complete the information requested for all applicable exams you have taken.

  Date Test Taken Math/Quantitative Score Verbal Score Writing/Analytical English Speaking Subscore (TOEFL only)
TOEFL
SAT  
ACT  
IELTS  
Other  

English Proficiency Requirement

Benedict College requires all applicants whose native language is not English to demonstrate English proficiency. Please select which method applies to you.

I have met the English proficiency requirement by:
 Receiving at least one year of English language instruction from a reputable English teaching institution. (Upload a copy of certificate, and send original by airmail) Taking the TOEFL Taking the SAT, ACT or IELTS Other
If Other, please specify: e.g. Certificate of Completion

Please upload a copy of your proof of English proficiency:

Housing

Housing Preference:  On Campus Off Campus
Follow this web address to access the housing application: http://www.benedict.edu/cms/?q=housing

Certification of Financial Support

The U.S. immigration laws require every educational institution to certify that each student admitted has adequate funding to attend school. The student must be able to show proof of financial resources for 12 months of expenses. This form has been developed for the purpose of financial certification at Benedict College only. The U.S. embassy or consulate in the student’s home country may require additional documentation in order to issue the entry visa. This form should be used by students
who will be self-supported, or supported by family members or friends. The link to the form is provided below for your convenience. You may submit it separately, independent of their application and application supporting documents.

(link to certification form)

How did you hear about Benedict College

Check all that apply:  College Recruiter Relative/Friend Attended BC Posters/Flyers Magazine High School Counselor OIP recruiter Radio

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