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Northland College»Apply to Northland College»Returning Students Application»TRF

TRF Returning Students Application

FIRST NAME:		* REQUIRED
MIDDLE INITIAL:
LAST NAME:		* REQUIRED
NAME USED FORMERLY: (if applicable)
STREET ADDRESS:		* REQUIRED
CITY:		* REQUIRED
STATE:		* REQUIRED
ZIP CODE:		* REQUIRED
COUNTRY:
EMAIL ADDRESS:		* REQUIRED
HOME PHONE NUMBER:		* REQUIRED
CELL PHONE NUMBER:

MONTH LAST ATTENDED NORTHLAND COLLEGE:		* REQUIRED
YEAR LAST ATTENDED NORTHLAND COLLEGE:		* REQUIRED
REASON FOR LEAVING PREVIOUSLY:
TERM YOU WISH TO RETURN:		* REQUIRED
YEAR YOU WISH TO RETURN:		* REQUIRED
PROGRAM CHOICE:		* REQUIRED

ARE YOU A RESIDENT OF MINNESOTA?	Yes No	* REQUIRED
IF YES, FOR HOW LONG?
IF NO, WHAT STATE ARE YOU RESIDENT OF?
If North Dakota resident, complete the online Reciprocity Application.

ARE YOU A U.S. CITIZEN?	Yes No	* REQUIRED
IF NO, DO YOU HAVE STATUS AS:	Resident Alien Refugee/Asylee Temporary Protected Status None of the above
IF YOU ANSWERED "NONE OF THE ABOVE," DO YOU HAVE OR INTEND TO APPLY FOR A VISA?	Yes No
If you answered Yes you must contact the international advisor to determine whether a separate application is required.

DO YOU HAVE A HIGH SCHOOL DIPLOMA?	Yes No	* REQUIRED
IF YES, HIGH SCHOOL GRADUATION DATE:
NAME OF HIGH SCHOOL ATTENDED:
ADDRESS OF HIGH SCHOOL ATTENDED:
IF NO, DO YOU HAVE A GED?	Yes No
PLEASE LIST COLLEGE(S) THAT YOU HAVE ATTENDED SINCE YOUR LAST ENROLLMENT HERE
HAVE YOU EVER SERVED OR ARE YOU CURRENTLY SERVING IN THE UNITED STATES MILITARY?	Yes No

Voluntary Information

Providing the following information is voluntary. This information will assist Northland in evaluating student recruitment and retention policies; it will not be used as a basis for admission.

Click here to advance past Voluntary Information and to submit your application.

ETHNIC ORIGIN:

DATE OF BIRTH:
(MM-DD-YYYY)

GENDER:

Male Female

Choose One of the Following (if applicable):

Single Parent - An individual who is unmarried or legally separated: AND has a minor child or children for whom the parent has either physical custody or joint physical custody: OR is single and pregnant.

Displaced Homemaker – An individual who has worked primarily without pay to care for a home and family, and for that reason has diminished marketable skills and is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment and at least one of the following is true:

• has been dependent on the income of another family member but is no longer supported by that income or

• is a parent whose youngest dependent child will become ineligible to receive assistance under part A of title IV of the Social Security Act not later than 2 years after the date on which the parent applies for assistance under this title

What is the highest level of education for your parent(s)/guardian(s)? Please respond for the parent(s), step-parent(s) adoptive parent(s) or guardian(s) who raised you. Check only one box for each parent/guardian.

Parent/Guardian #1:

Parent/Guardian #2:

If you have been arrested, charged or convicted of any criminal offense, you should investigate that the arrest, charge or conviction may have on your chances of employment in the field you intend to study or on your chances to obtain federal, state and other higher education financial aid.

		Click the submit button and you're done! Thank you for your interest in Northland College.

TRF Returning Students Application

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