Purdue im体育 Application for Undergraduate Admission

Parent Information

Parent/Legal Guardian 1

First

Last

Relationship

Phone

Do you live with this parent/guardian?

Yes

Parent Address

Same as Permanent Address

Country

Street

City

Region

Postal Code

Does this parent/guardian live in Indiana?

Yes

Do you want to add another parent/guardian?

Yes

Parent/Legal Guardian 2

First

Last

Relationship

Phone

Do you live with this parent/guardian?

Yes

Parent 2 Address

Same as Permanent Address

Country

Street

City

Region

Postal Code

Parent/Legal Guardian Residency

Emergency Contact

Primary Emergency Contact

First Name

Last Name

Relationship

Phone

Would you like to add another emergency contact?

Yes

Secondary Emergency Contact

First Name

Last Name

Phone

Relationship

Education

High School/Secondary School

High School/Secondary School Name

Level of Study

High School/Secondary School Start Date

High School/Secondary School End Date

Graduation Date

We are unable to locate your high school/secondary school in our database.
Please provide the following information so we may add it.

School Code
Commonly referred to as CEEB Code
Leave blank if unknown

School Website
Leave blank if unknown

School Address

Country

Street

City

Region

Postal Code

I need to enter homeschool information.

I need to enter GED information

I need other help with this section.

If you are homeschooled in Indiana
- Please enter 159993 in High School/Secondary School Name
If you are homeschooled outside of Indiana
- Please enter 159992 in High School/Secondary School Name

Enter 159999 in "High School/Secondary School Name" if you did not graduate but completed any of the following:
- GED
- HSE
- HiSET
- Any other High School Equivalency Completion exam.
Enter the date the exam was completed in Graduation Date.

If you attended more than one high school, enter the one you graduated/will graduate from.
If you have not graduated yet, please enter your anticipated graduation date.
If your school is not listed in the High School/Secondary School Name box, please spell out your entire school name.
Still need help? Contact us at ask@omniinvest.net

Higher Education Information

What institutions should you include? Review this quick checklist before you begin.

Include all higher education institution(s) you are currently attending or attended previously (colleges, universities, etc).

Include all institutions you completed dual credit/concurrent enrollment credits with.

Include all trade schools you attended.

Include all Purdue campuses you attended, including PFW.

DeleteInstitution _ID_
Higher Education Institution Information
Institution Name Institution CEEB hidden field Institution Level of Study Institution Start Date Institution Start Date Institution End Date Institution End Date Did you complete a degree here? Did you complete a degree here? Yes No Degree Awarded Degree Awarded Date Degree Awarded Date We are unable to locate your institution in our database. Please provide the following information so we may add it. Institution Code Commonly referred to as CEEB Code Leave blank if unknown Institution Website Leave blank if unknown Institution Address Institution Address Country Street City Region Postal Code I need help with this section. Include ALL institutions (colleges, universities) you have attended or are currently attending. Do not include institutions you have been accepted to if you have not attended. You are required* to list all schools even if you do not have/want credits to transfer. This includes but is not limited to the following:* Colleges & Universities Online Schools Trade schools Dual credit/Concurrent enrollment All Purdue campuses If your school is not listed in the search, please type out the full name. Still need help? Contact us at ask@omniinvest.net

Add another Institution

Language Proficiency

How many languages are you proficient in?

First Language

First Language Proficiency Check all that apply

Spoken at home

Speak

Read

Write

Second Language

Second Language Proficiency Check all that apply

Spoken at home

Speak

Read

Write

Third Language

Third Language Proficiency Check all that apply

Spoken at home

Speak

Read

Write

Fourth Language

Fourth Language Proficiency Check all that apply

Spoken at home

Speak

Read

Write

Other Languages (list any other languages in this space)

DeleteOther College Considering _ID_
What other colleges are you considering?
College Name Other College CEEB

Add Another College

About the Application	The Purdue im体育 Fort Wayne Undergraduate application must be completed in a single sitting. You will not be able to save and return later. Please allow 10-15 minutes to complete all questions.
Already Applied?	You can access the Applicant Portal for updates.
Questions?	Office of Admissions Email: ask@omniinvest.net Phone: 260-481-6812 Text: 260-408-6200	Office of International Education Email: intladmissions@omniinvest.net Phone: +1-260-481-6034 WhatsApp: +1-260-234-1022

Purdue im体育 Application for Undergraduate Admission

About the Application

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