Application Supplement Online Form

First Name *

Last Name *

Home Address *

City, State and Zip Code *

Country *

Phone Number *

Email Address *

Admission Options

If none of the above, have you visited Susquehanna for some other reason?

Yes

No

Explain

Influence to Apply Please select Academics Alumni Area Resident Athletics Brochure Campus Event Campus Visit Coach College Classmate College Fair College Guide Book College Night College Professor Coworker Current Student Educational Consultant Family Friend Guidance Counselor High School Classmate High School Faculty/Staff High School Visit Human Resources Department Independent Counselor Information Event Institution Correspondence Institution Reputation Internet Location Mailing Masters of Business Administration Forum Media Media Ranking Not Stated Off Campus Event Other Placement Department Recruiter Relative Size of Campus Supervisor Tuition Visit to High School Website

How important is working on campus? Please select Very Important Important Neutral Not Important

Major Information

Please choose the one major that you feel is most likely to be your focus * Please select Accounting Art History Biochemistry Biology Business Administration — Entrepreneurship Business Administration — Finance Business Administration — Global Management Business Administration — Human Resource Management Business Administration — Information Systems Business Administration — Marketing Chemistry Communications — Broadcasting Communications — Communication Studies Communications — Corporate Communications Communications — Journalism Communications — Mass Communications Communications — Public Relations Communications — Speech Communication Computer Science Creative Writing (portfolio required) Early Childhood Education (Pre K-4) Earth and Environmental Sciences Ecology Economics — Financial Economics Economics — General Economics Economics — Global Economy and Financial Markets Education/Liberal Studies — Undecided Education/Liberal Studies — Secondary English French German Graphic Design (portfolio required) History Information Systems International Studies — Asian Studies International Studies — Comparative Cultural Studies International Studies — Developing World Studies International Studies — Diplomacy International Studies — European Studies International Studies — International Trade and Development International Studies — Sustainable Development Mathematics Music — Music (Bachelor of Arts, audition required) Music — Music Education (Bachelor of Music, audition required) Music — Music Performance (Bachelor of Music, audition required) Philosophy Physics Political Science Psychology Religion Sociology Spanish Studio Art — Painting and Drawing (portfolio required) Studio Art — Photography (portfolio required) Theatre — Performance Theatre — Production and Design Undecided — Business Undecided — Liberal Arts Undecided — Science

If Secondary Education is your choice, indicate the field you wish to teach Please select Biology Chemistry Creative Writing (portfolio required) English French German History Mathematics Physics Political Science Psychology Sociology Spanish

How did you first hear about Susquehanna? Please tell us why you have decided to apply to Susquehanna University.

Family Information

Do either of your parents have a bachelor's degree?

Yes

No

What is your religious affiliation? (optional)

Do you have any relatives or friends who have attended or are now attending Susquehanna? If so, please indicate below.

Please list three goals that you have for yourself right now *

Signature

By typing my name below I indicate that all the information is complete, factually correct and honestly presented. I understand that if this representation is not correct, Susquehanna University reserves the right to reject my application or to withdraw my offer of admission.

Signature *

Date *