Cleary University Student Application V2

For which term are you applying?

Spring (January - May)

Summer (May - August)

Fall (August - December)
Full Academic Calendar

How did You Hear About Us?

Other

First Name/ Given Name

Middle Initial

Last Name/ Surname

Suffix

Preferred First Name

Gender

Citizenship Status

Country of Citizenship

Birthdate

Please format with MM/DD/YYYY

Social Security Number

Numbers only, no dashes or hyphens.

Social Security Number

Are you Hispanic/Latino?

Mailing City

Mailing State

Mailing Province

Mailing State/Province

Mailing Zip Code

Home Phone

Mobile Phone

Work Phone

Home Phone (Alternate)

Mobile Phone (Alternate)

Work Phone (Alternate)

Permanent City

Permenent State

Permanent Province

Permanent State/Province

Permanent Zip Code

Would you like to add parent/guardian information

YesNo

Is this parent/guardian also an emergency contact?

Yes

Relationship

Parent First Name

Parent Last Name

Parent Email Address

Parent Preferred Phone Type

Home Phone

Mobile Phone

Work Phone

Parent Mobile Allow Text Messages

Yes

Relatives who Attended Cleary

Relationship

First Name

Last Name

Phone Number

Email Address

Street Address

City

State

Postal/ZIP Code

Please select your High School

If your school is not listed please select "Other".

Graduation Date

If other, please enter you High School name here

GPA (will be verified by official transcript)

SAT scores (will be verified by official transcript)

ACT scores (will be verified by official transcript)

College/University Name

Graduation Date

By checking this box, you agree to the above statements. Further, you acknowledge that all information that you have provided is accurate.

By checking this box, you agree to allow Cleary University to share the grades you earn per class with your employer as requested by the employer.

By checking this box, I agree to allow Cleary University to obtain educational records from my high school counselor.

I agree