| The following form must be printed, signed, dated, and mailed to the Office of International Education of Emporia State University. All required documents must be attached to the form before you will be considered for admission. |
| Signature Block |
| I hereby affirm that all information supplied on this form is complete and accurate. I understand that I will not be considered for admission until I have submitted all the required items listed below. |
| Date (mo./day/year):_______/_____/________ |
| Signature:___________________________ |
| Required items to be sent: |
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Hard copy of this application