Offices and Administration

Undergraduate Application

Please fill out all the required fields for the Undergraduate Application.

- indicates required field

Term and year you wish to enter or return to UNA

Which type of student are you?

Returning UNA Student (degree seeking)

Unclassified (Non Degree Seeking)

Transient

Teacher Certification

Master's Prerequisites

Certificate

Additional Major

Last Name

First Name

Middle Name

Student Gender

Male

Female

Date of Birth

SSN Social Security Number (SSN) is not required on this application; however, your SSN is required for other enrollment procedures, such as applying for federal aid and registering for classes. This information will need to be submitted at a later time

Address

City

State

Zip Code

County

State of Legal Residence

County of Legal Residence

Phone Number

Choose one of the following

U.S. Citizen

Permanent Resident/ Resident Alien

DACA (Deferred Action for Childhood Arrivals)

Resident of Alabama

Yes

City of Birth

State of Birth If not applicable, enter N/A

Country of Birth If not applicable, enter N/A

Please choose one of the following

Hispanic

Non-Hispanic

Race

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not Applicable

High School

City Where High School is Located

State Where High School is Located If not applicable, enter N/A

High School Graduation Date Enter the month and the year of your Graduation - mm/yyyy

If you are not a high school graduate have you completed the GED

Yes

Not Applicable

If you are a high school student and are receiving dual enrollment credit while in high school please list the college through which you are receiving credit

Are you eligible for readmission to the last college attended

Yes

Have you ever been suspended from any college or university for one of the following

Poor Scholarship

Disciplinary Action

Other

Not Applicable

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from high school (or the international equivalent) forward that resulted in a disciplinary action? These actions could include, but are not limited to, the following: probation, suspension, removal, dismissal, or expulsion from the institution

Yes

If you have been found responsible for a disciplinary violation, please give the approximate date of each incident, include if the disciplinary action is current, explain the circumstances, and reflect on what you learned from the experience. You will be contacted by a university official to discuss your previous incident(s). Based on the conversation, and in some cases a meeting with the Preadmission Review Committee, your enrollment status or conditions may be subject to change

Have you ever been adjudicated guilty or convicted or a misdemeanor, felony, or other crime?

Yes

If you have been adjudicated or convicted, please give the date of each incident, include if the disciplinary action is current, explain the circumstances, and reflect on what you learned from the experience. You will be contacted by a university official to discuss your previous incident(s). Based on the conversation, and in some cases a meeting with the Preadmission Review Committee, your enrollment status or conditions may be subject to change.

Have you ever taken courses at UNA

Yes

If yes when Format - From mm/yyyy - To mm/yyyy

List all names under which you previously enrolled at UNA or at other schools

Please list all colleges attended including UNA

College Name (1)

College City and State (1) CIty, State

Date of Attendance (1) From: mm/yyyy - To: mm/yyyy

Degree Earned (1) If no degree was earned put "No Degree"

College Name (2)

College City and State (2)

Dates of Attendance (2)

Degree Earned (2)

College Name (3)

College City and State (3)

Dates of Attendance (3)

Degree Earned (3)

College Name (4)

College City and State (4)

Dates of Attendance (4)

Degree Earned (4)

College Name (5)

College City and State (5)

Dates of Attendance (5)

Degree Earned (5)

College Name (6)

College City and State (6)

Dates of Attendance (6)

Degree Earned (6)

College Name (7)

College City and State (7)

Dates of Attendance (7)

Degree Earned (7)

College Name (8)

College City and State (8)

Dates of Attendance (8)

Degree Earned (8)

Emergency Contact First Name

Emergency Contact Middle Initial

Emergency Contact Last Name

Relationship to Applicant

Emergency Contact Address

Emergency Contact City

Emergency Contact State

Emergency Contact Zip

Emergency Contact County

Emergency Contact Phone

Please affirm the following before you submit your application

I certify that the above information is true and complete; I understand that withholding information requested, with the exception of information designated as optional, or giving false information may make me ineligible for admission and enrollment

I agree

I also certify that, if I am a male born on or after January 1, 1960, I comply with the provisions of the United States Military Selective Service Board or that I am not yet 18 years of age and I will register when required or that I am not required by law to register (this certification is required by State of Alabama Legislature Act 91-584)

I agree

I understand that the University of North Alabama reserves the right to perform background checks on all applicants. Although it is the responsibility of the applicant to provide official documents, I grant the University of North Alabama permission to request transcripts from all schools that I have attended.

I agree

The electronic signature consists simply of your name, typed by you on your keyboard. The signature is your confirmation that the application you have filled out is your own work and the information is factually true. Once you type in your name, this will count as your electronic signature.

Signature

Signature Date

Please make sure all required fields have been filled out correctly.

Thank you for your application submission! You will be notified if any additional documents are required for admission. The $35.00 application fee is not required if you have paid for a previous UNA application. If you have not paid previously, you may pay via the following methods:

Contact the Office of Student Accounts at 256-765-4442 to pay via debit/credit card
Mail cash/check/money order to UNA Office of Admissions, UNA Box 5011, Florence, AL 35632-0001
Pay cash/check/money order in person at UNA Office of Admissions, Coby Hall, 459 N. Court Street, Florence, AL 35630

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Undergraduate Application

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High School Information

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Emergency Contact Information

Certification

Signature