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University Now

APPLICATION FOR ADMISSION

TO THE UNIVERSITY NOW DUAL-ENROLLMENT PROGRAM

First Name

Middle Name

Last Name

Social Security Number

Home Address

Country

Street

City

Region

Postal Code

Citizenship Status

Home Phone

Date of Birth

Sex

High School

Year In School:

GPA

Course(s) you wish to take:

Choice 1

Choice 2

Parent's First Name

Parent's Last Name

Parent's Email

Principal's First Name

Principal's Last Name

Principal's Email

Signature

Date

2 Convent Road
Morristown, NJ 07960-6989

973-290-4000

Founded and sponsored by the Sisters of Charity of Saint Elizabeth, since 1899.

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Saint Elizabeth University admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs. Saint Elizabeth University is also an equal opportunity employer. It does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, national origin, genetic information, or any other characteristic protected by law.