THE UNIVERSITY OF
MONTEVALLO
INTERNATIONAL STUDENT
APPLICATION FOR ADMISSION

A.
Applicant__________________________________________________________________________
                                (Surname/Family Name)                                      (First or Given Name)                                        (Middle Name)
Mailing Address:_____________________________________________________________________
                                      Number & Street
______________________________________________Telephone number:_____________________ 
City / State  or  Province / Postal Code / Country
Date of Birth:  month/day/year_____________________     Gender:  __Male   __Female
Country of Citizenship: ___________________________ Country of Birth: _______________________
Current Visa Type: _____________________ 
Parent(s) or Guardian:_________________________________________________________________
Parents' or Permanent Address (if different than above):________________________________________
                                                                                                              Number & Street
____________________________________________________Telephone number: ________________
City / State or  Province / Postal Code / Country
Email Address:________________________________________________
Have you registered for or taken the TOEFL?  __Yes    __ No             Date: _______________________
                                                                                                                                                                               Month/Day/Year
TOEFL Score: _________  University required score of 525 or higher; 193 or higher on computer-based
exam; 71 or higher on iBT.
Language(s) spoken in your home:__________________Years of formal study of English___________

B.
Year you intend to enter school at UM:________________

Intended Major: __________________ Intended Minor: ___________________Undeclared: __________
                            (List of Academic Programs)

C.

Other names under which transcripts may be listed:____________________________________________
Previously applied to or attended Montevallo?  __Yes      __No     If "Yes" indicate year(s): _____________

D.
Are you married?   __Yes    __No          Do you have dependents?    __Yes    __No
If you answered yes to either of the two previous questions and your spouse or dependents will accompany you during your period of study in the United States, complete the following. You and/or your sponsor must also submit verification of
additional financial resources for each dependent when obtaining a visa.

The information herein is complete and accurate. I understand that incomplete and inaccurate application information may result in my being ineligible for admission and enrollment.

Student Signature:_____________________________________  Date: ____________________________
(Student's signature is required for application to be processed. All additional required forms must be included.)