Application for DLI Semester Programs


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Application for semester length DLI programs
Fields marked with * are required.

Student Information

* Family/Last name

* First name

Middle name

Name you prefer

* Permanent address

* City

* State/Province

* Postal code

* Country

Present mailing address (if different)

City

State/Province

Postal code

* Phone

Country

* E-mail

Family Information

Father or guardian's name

Daytime phone

Father or guardian's e-mail

Employer

Occupation & title

Mother or guardian's name

Daytime phone

Mother or guardian's e-mail

Employer

Occupation & title

Parent or guardian's address (if different)

City

State/Province

Postal code

Country

List any relatives who have attended or are attending SMU (Name, relationship)

Application Information

* Program Dates
	Semester I - Fall (Aug - Dec) Semester II - Spring (Jan - May)

* Academic Year

* English Proficiency
	Beginner Intermediate Advanced

TOEFL Score

How did you become interested in SMU? (You may check more than one.)
	Academic reputation Advertisement Alumnus/alumna Brochure Christian Brothers (De La Salle) Website Other

Education & Work Information

High schools and post-secondary schools. List school, city/state, dates attended and date of diploma beginning with most recent

List school and community activities and organizations in which you have participated.

Jobs and/or volunteer organizations in which you have worked. (List employer/agency, position, years/months at job, hours per week.)

* Required Fields

Updated by Website Editor - Winona on Wednesday, April 23, 2008. Contact: webeditor@smumn.edu