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Application For Admission


Is Your Current Mailing address the same as your permanent home address?  Yes No if no, please complete current mailing address

 Yes No

Gender *  Male Female

Are You a New York State Resident? *  Yes No

if yes, have you been a resident of NY state for at least one year? *  Yes No

Have you previously attended Globe Institute of Technology? *  Yes No

Have You Attended any college, University or post-secondary institution? *  Yes No

Country of birth *  United States Other (Specify)

First Language *  English Other

Race/Ethnicity Data (Voluntary)  Black, Non-Hispanic White, Non-Hispanic Hispanic Asian/pacific Islander American Indian/Alaskan NATIVE

Citizenship *  U.S Citizen Permanent Resident Alien Refugee/Asylee Parolee Student Visa (F1) Tourist Visa (B1/B2) Other Non-Immigrant

Basis for Admission *  High School Graduate, U.S. High School Graduate, foreign GED Early H.S. Associate's or Higher Degree Ability-to-benefit (no Hs diplomo or GED) Re-Admit

 I graduate from high School on Iam Currently in high school and expect to graduate on I earned my GED on I did not graduate from high school and have not earned a GED

(month/date/year)

(month/date/year)

(month/date/year)

Will You be applying to transfer credits to globe?  Yes No

for which semester are you applying? *  Spring Summer Fall

Will you need help with Student Housing *  Yes No

 Earn a college degree Secure a new/better Job Improve skills for current job Personal enrichment Expand interests

Are You Working With an Advisor *  Yes No

How did you learn about Globe institute of Technology?

 I Certify that the Information on this application is true and correct to the best of my Knowledge. I understand that any deliberate omission or falsification may result in denial of admission or dismissal *