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| Have any other members of your family ever attended Viterbo? (Please specify names) |
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| If you do not live with either of your parents, with whom do you make your home? |
| (First and last name) Relationship to you |
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Academic Interest
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| Program of interest |
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Enrollment
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| Note: First-time traditional freshmen are required to live on campus (unless living with their parents) in a university owned residence. Non-traditional as well as transfer students are welcome to live on campus, but they are NOT required to do so. |
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| I plan to enroll during
as a and live |
| I plan to apply for federal student aid (FAFSA)? |
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Are you currently armed forces active duty personnel or armed forces reservist? |
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Are you a veteran of the armed forces? |
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| Background Questions: |
| Have you ever been convicted of a felony? |
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| If yes to felony, provide explanation including approximate dates of each incident. |
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| Do you have any criminal charges pending against you or have you ever been convicted of any crime anywhere, including federal, state, local, military, or tribal courts? |
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| Were you ever found to be delinquent (adjudicated) by a court of law on or after your tenth birthday for a crime or offense? |
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| Have you ever been discharged from the military for less than honorable reasons? |
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| Have you ever been suspended or expelled from any high school or post-secondary institution for non-academic reasons? |
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| Have you ever been involved in any activity that would prevent you from being admitted at any other high school, college, or university? |
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