Viterbo University - The University of Opportunity: Hope and Help

International Online Application

 
This application is intended for use by international students seeking admission to Viterbo. United States citizens who have a social security number should use a standard application for admission form from this link. 
Your on-line application is just a way to enter your information into our computer system.  Your admission will not be granted until after Viterbo University receives your complete original documents 
1. Complete this page which is Part 1 of the Online International Application. Leave the question blank if it does not apply to you.
2. Once you submit this page, a link will allow you to continue to Part 2 and attach the below required documents. It can also be accessed later with this link Send Application Attachments  
  a. The original transcripts and diplomas from all the schools you have attended (including high schools and universities.)  If the transcripts and the diploma are not in English, have them translated to English and notarized.   
 
  b. TOEFL/IELTS/STEP EIKEN/SAT/ACT score report.  (If you do not have the score, or the score is low may be accepted into an English as a second language program first.)    
 
  c. Autobiographical essay. 
  d. Two reference letters from teachers you have had.
  e. An official bank statement with the balance converted into U.S. dollars.  If a company or an individual is your sponsor, have the company or the individual send an affidavit of support together with the company's assets report or the individual's bank statement.   
 
3. Once you submit Part 2 - File attachments, you can complete Part 3 which will let you pay the $50 U.S. dollar application fee online. It can also be paid later at this link ApplicationFee  
     
Your application will not be reviewed until we have received all of the above information from you.

Student Information

 
Legal Name 
First name (given name)    Middle name   Last name (surname)   
 
Mailing Address 
Street     
City   Province or state   Postal code  
Country   Home phone  
Cell phone   Work phone  
Fax   Email  
Preferred method
of contact
   
Gender  
                                                                                
Date of Birth Month   
Day       
Year      


 
City of Birth  
Country of Birth  
Country of Citizenship  
Citizen Status  
Immigrant Status  
Marital status    
Religious preference  
Ethnic background   
Race (Select one or more) 
  1.  - select country 
                                                                
               

 

 

Major Field of Interest

 
Type:   
Field of Interest   
Program   
I plan to enroll during .
Are you transferring from another university or college?  
 
Residence Plans 
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. Viterbo DOES NOT provide assistance in securing off-campus housing. 
I plan to live  

 

Secondary School (High school - usually ages 13-17)

 
Name  
Address, city and country of secondary school

 
Year of graduation (YYYY)     High school rank   Cumulative GPA  
ACT/SAT Composite Score   Other Examination Results  

 
Post Secondary Schools Attended (University or other post-secondary institution) 
Full Name of School                City/State/Country                                      Dates Attended          Degree Earned/Year
       
       
       
       

 

Co-Curricular Activities

 
Please check the activities you want to participate in while in college:
                                                                
               

 
Varsity Athletics (NAIA Inter-Collegiate):
 

 
Background Questions: 
Have you ever been convicted of a felony?
 
   
 
               

 
Do you have any criminal charges pending against you or have you ever been convicted of any crime in another country or any U.S. federal, state, local, military, or tribal court? 
 
   
 
               

 
Were you ever found to be delinquent (adjudicated) by a court of law on or after your tenth birthday for a crime or offense?
 
   
 
               

 
Have you ever been discharged from the military for less than honorable reasons?
 
   
 
               

 
Have you ever been suspended or expelled from any high school or post-secondary institution?
 
   
 
               

 
Have you ever been involved in any activity that would prevent you from being admitted at any other high school, college, or university?
                

 
     
 Questions about your application? Contact us at  Viterbo University  
  Office of Global Education Phone: 608-796-3172
  900 Viterbo Drive Email:  sjiang@viterbo.edu 
  La Crosse, WI  54601 Fax: 608-796-3171

Signature and Date

 
Affidavit:  I understand that this application cannot be processed if it has not been completed according to the instructions or if payment is not received, and that any deliverate falsification or omission of data may result in denial of admission or dismissal.  All information submitted is true to the best of my knowledge.
 
Student name  Date  

TO GUARD AGAINST TECHNICAL DIFFICULTIES, PLEASE PRINT AND SAVE A COPY OF THIS APPLICATION FOR YOUR FILES.  

 
Viterbo University is committed to providing equal educational and employment opportunities regardless of sex, race, color, religion, age, national origin, or handicap in compliance with Title VI, Title IX and Section 504.