Apply to the University of Connecticut

Step 1
Application details
Step 2
Current and previous studies
Step 3
Visa and contact details
Step 4
Documents and other information

University of Connecticut Application Form

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Application details

UTM Parameters

Campaign Name

Campaign Source

Campaign Content

Campaign Medium

Campaign Term

Your University of Connecticut application

I am making this application as:

a student on my owna student with the help of an agentan agent on behalf of the student

Agent's contact details

After entering your contact details below, the rest of the application form is related to the student. Agents must answer on the applicant's behalf. However, only the applicant can sign the student declaration in Step 4.

Agency organization name

Agent branch

Country or region

Country or region_Id

Country or region_Name

Counsellor/Agent first name

Counsellor/Agent last name

Agent's email

Agent's email for confirmations

DO NOT DELETE, THIS ENABLES AGENT CONFIRMATION EMAILS

Student's personal information

Prefix

Mr.

Mrs.

Ms.

Dr.

Preferred pronouns

He/HimShe/HerThey/Them

First name/Given name(s)

Surname/Family name(s)

Date of birth

Country or region of birth

Country or region of birth_Id

Citizenship (as shown in your passport)

Citizenship_Id

Do you hold another citizenship?

Yes

Second citizenship

Second citizenship_Id

Sexual orientation (optional) - Do you consider yourself to be:

If other, please specify

Gender

Male

Female

If you would like to share information about your gender identity, please do so below:

If other, please specify

If you have a previous relationship with the University of Connecticut and know your NetID, please list it here:

Study details

I am applying for:

Bachelor's degree: year 1 admissionBachelor's degree: year 2 or 3 transfer admission

When do you want to start your studies at the University of Connecticut?

Intake_Variable

In which academic college do you want to study your first choice program?

Department_Variable_First

Specify your first choice program:

Program_Variable_First

Specify the campus you would like to study in

Storrs - main campusAvery Point - regional campusHartford - regional campusStamford - regional campusWaterbury - regional campusOnline

Campus_Variable_First

Do you want to apply for a backup (second choice) program?

YesNo

In which academic college do you want to study your second choice program?

Department_Variable_Second

Specify your second choice program:

Program_Variable_Second

Specify the campus you would like to study in for your second choice

Storrs - main campusAvery Point - regional campusHartford - regional campusStamford - regional campusWaterbury - regional campusOnline

Campus_Variable_Second

Indicate your interest in a special program

Application deadline for a special program is December 1st

First_Choice_Text

Second_Choice_Text

Current and previous studies

Secondary/high school

Name of current or most recent secondary/high school

Address line 1

Address line 2

City

State/Province

ZIP/Postal code

Country or region

Country or region_Id

Date your attendance started

Date your attendance ended

Have you previously attended, or are you currently attending, a college or university?

YesNo

Colleges and Universities

Name of current or most recent college/university

Address line 1

Address line 2

City

State/Province

ZIP/Postal code

Country or region

Country or region_Id

Date your attendance started

Date your attendance ended

Visa and contact details

US studies and visas

What type of US visa do you have?

Visa expiration date

If you intend to apply for a new or different US visa, please indicate that visa type

Have you previously applied to the University of Connecticut?

YesNo

Date you previously applied to the University of Connecticut

Student's contact details

Email

Cellphone or US phone number

Home phone number

Address details

Permanent home country or region

Permanent address line 1

Permanent address line 2

Permanent home city

Permanent home/state province

Permanent home region in India

Permanent home ZIP/postal code

Mailing address for immigration documents (must be sent to student or next of kin)

Address line 1

Address line 2

City

State/Province

ZIP/Postal code

Country or region

Country or region_Id

Emergency contact details

Emergency contact first name

Emergency contact last name

Emergency contact phone number

Emergency contact email

Relation to applicant

If other, please specify

Documents and additional information

Character questions

Have you ever been found responsible for an academic misconduct violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward that resulted in a disciplinary action?

YesNo

Provide details, approximate date(s), and explain the circumstances surrounding each incident

Have you ever been found responsible for a behavioural misconduct and/or other disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward that resulted in a disciplinary action?

YesNo

Provide details, approximate date(s), and explain the circumstances surrounding each incident

Document checklist and upload

Test Optional: UConn has currently administered a Test Optional Policy. You can elect whether or not you would like to include your standardised test scores (SAT or ACT) in the evaluation of your application:

Yes, I would like my SAT or ACT score to be consideredNo, I do not want my SAT or ACT scores considered (also choose this if you haven’t taken SAT/ACT)

Select the documents you are uploading with this application

Proof of English proficiency (TOEFL, IELTS or Duolingo score)Official transcripts for the last 3 years at secondary school or post-secondary institutions, including final diploma/certificate if availableWritten statement/essay (topic: a meaningful story of your background, your identity, an interest, or a talent that will complete your application)Letters of recommendation (optional by encouraged)Passport copyPrevious I-20 or copy of visa (if you have studied in the USA)External credential evaluation, e.g. from WES (transfer applicants only)Portfolio (if applying to fine art programs)SAT or ACT score (optional)Resume (optional)

Attach document

Additional information

Questions and comments

Do you have questions about the application process, study options, start dates, entry requirements, visa regulations, etc? Ask them here.

Preferred residence during your first year

On-campus housingOff-campus private arrangementNot sure

Subscribe to promotions

Check this box to receive additional periodic promotions, such as information about other programs or scholarships. You can unsubscribe at any time.

Declaration

To find out more about how we handle private information, please see our privacy policy.

Agent declaration

I declare that as the educational agent I have permission from the student to act on behalf of the student for their application. The student will comply with the student declaration below.

Student declaration

I certify that all the information supplied in this form is correct and complete, and understand that any misrepresentation or falsification, including failure to report any college or university attendance, is sufficient cause for cancellation of enrollment and/or credits earned and could result in other disciplinary action. I authorize Kaplan International to supply any relevant records relating to my attendance and progress, including personal records, contact details, and disciplinary records, to Kaplan's employees, staff, affiliates, agents, representatives, and others working on Kaplan’s behalf, as well as to the U.S. Department of Homeland Security, state and accrediting agencies, the University, my parents, guardian, or sponsor. I hereby consent to you contacting any school or institution at which I have previously studied in order to verify the information I have provided in the application and hereby authorize such school or institution to disclose such information.

Student signature

Reset

base64 signature code

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