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Southern Nazarene Application for Admission

Program Information
Undergraduate Program of Interest Location
Anticipated Start Date:  /   /    (mm/dd/yyyy) View upcoming start dates

Personal Information
Social Security Number:
Birthdate:  /   /    (mm/dd/yyyy)
Legal Name:   Last
First
Middle
Maiden
Preferred First Name

Address: City: State:
Zip Code:  - Country: Country (if not on list):
County (if Oklahoma):

Home Phone: Work Phone: Ext:
Pager/Cell Phone: Email:
Preferred Contact:

Employer:
Job Title/Position:

Country of Citizenship: Country of Citizenship (if not on list):
Are you in the US on a Student Visa?

Optional Information: This information will NOT be a factor in the admission process.
Your cooperation is strictly voluntary, but is appreciated.
Race/National Origin: Gender:
Marital Status: Religious Affiliation:
District (if Nazarene):
Facebook Username/URL:

Financial Information
How do you plan to pay for your education? Check all appropriate boxes:
     Earnings V.A. Benefits Employer Reimbursement
     Tuition Assistance Student Loans/Grants Other

In the area below, please list all colleges/universities you have attended (including Southern Nazarene University/BNC if you are a previous student). It is required that an official transcript from EACH institution be provided.
Institution Name
(Do Not Abbreviate)
City and State
1)
2)
3)
4)
5)
6)
7)


Please click the Submit button only once and wait for a response.



If you have further questions or would like to submit an application by mail, please contact the Undergraduate Office for the campus of your choice by calling or emailing the following:

  Bethany/Del City Online Associate Tulsa
  Southern Nazarene University Southern Nazarene University Southern Nazarene University
  School of Professional Studies Attn: Sheila Stout Attn: Dale Young
  6729 NW 39th Expy. 6729 NW 39th Expy. 8210 E. Regal Ct.
  Bethany, OK 73008 Bethany, OK 73008 Tulsa, OK 74133
  405.491.6332 405.491.6669 918.664.1949 or 918.759.1530
  pgs@snu.edu associate@snu.edu dayoung@snu.edu
SNU's Annual Security Report is available at www.snu.edu/safety. This report includes statistics for the previous three years concerning reported crimes. It also contains institutional policies concerning campus safety and security. A copy of this report can be secured by contacting the Office of Student Development, 405-491-6336.
SNU's Statement of Non-Discrimination can be found at http://snu.edu/statement-of-non-discrimination.