American Collegiate at American University
Personal Details
As it Appears on Your Passport
Title
Given Name
Middle Name
Family Name
Gender
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Male
Female
Birthday
Month
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January
February
March
April
May
June
July
August
September
October
November
December
Day
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1
2
3
4
5
6
7
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9
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20
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22
23
24
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31
Year
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1982
1983
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1987
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2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
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2020
Mobile Phone (International Code)
Mobile Phone (Area Code)
Mobile Phone
Home Phone (International Code)
Home Phone (Area Code)
Home Phone
Preferred Social Media App
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KaKao Talk
Line
QQ
WeChat
WhatsApp
Preferred Social Media Username
Academic Details
Do you have a Form I-20 from another institution in the United States?
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Yes
No
Yes - Expired
Select "Yes" only if you are currently studying on an F1 student visa in the United States, and have been issued an I-20 document from your current institution within the United States.
Intended Major
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STEM or Computer Science
Business or Finance
Economics or Humanities and Social Sciences
Intended Start Term
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Fall
Spring
Summer
Indicate the term you wish to start.
Intended Start Year
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2024
2025
2026
2027
Intended Transfer School Destination
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Adelphi University
American University
Auburn University
Binghampton University
Dickinson College
Franklin & Marshall College
Sewanee: The University of the South
University of the Pacific
Undecided
Other
Other Transfer School Destination
Intended Transfer Major
Address Details
Permanent Non-US Home Address
Address
City
Region/State/Province
Postal Code
Country
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Afghanistan- Islamic State of
Albania
Algeria
American Samoa
Andorra- Principality of
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia- Kingdom of
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo- The Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
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Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
Former Czechoslovakia
Former USSR
France
France (European Territory)
French Guyana
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe (French)
Guam (USA)
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast (Cote D'Ivoire)
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyz Republic (Kyrgyzstan)
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique (French)
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldavia
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
New Caledonia (French)
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Polynesia (French)
Portugal
Puerto Rico
Qatar
Reunion (French)
Romania
Russian Federation
Rwanda
S. Georgia & S. Sandwich Isls.
Saint Helena
Saint Kitts & Nevis Anguilla
Saint Lucia
Saint Pierre and Miquelon
Saint Tome (Sao Tome) and Principe
Saint Vincent & Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Tajikistan
Taiwan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Unknown
Uruguay
USA Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (USA)
Wallis and Futuna Islands
Western Sahara
Yemen
Zaire
Zambia
Zimbabwe
Personal Email Address
This must be your personal email so the Admissions department can contact you directly.
Please Upload Required Documentation
We highly encourage you to attach your passport when you submit this form. In the case you do not have it at the time of submission, please submit it as soon as possible to your Admissions Representative, as it is required for the issuance of your final admission offer. If you have questions, please feel free to reach out to Pilar Menendez at
pilar.menendez@auaccelerator.co
m
Valid Passport Copy
How did you hear about us?
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Exhibition or Seminar
Newspaper or Magazine
Internet search or advertisement
Recommendation from Recruiter
Recommendation from a University
Recommendation from friend or colleague
Recommendation from family member
Other
If you have questions while completing this form, please feel free to email
admissions.DC@americancollegiate.com
and an Admissions representative will reach out directly to assist you.
Contact Information