Vincennes University Project Excel Application

Submitted Date

Student Type

Campus

Round (Term)

Major

Educational Goal

First Name

Preferred Name

Middle Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Permanent Address

Same as Mailing Address

Country

Street

City

Region

Postal Code

Birthdate

Please your email issued by your high school.

Email Address

Mobile Phone

Gender

Ethnicity: Are you Hispanic or Latino?

Country of Citizenship

US Residency Status

U.S. Permanent Resident

DACA or TPS (Documentation Required)

Undocumented U.S. Resident

If you do not know your Social Security Number, please just leave this field blank. Please do not enter random numbers.

Social Security Number

By checking this box, I acknowledge the above statement

Although providing your Social Security Number is not required for admission to Vincennes University, it is required to claim educational benefits on your tax return. If you do not include it on your admissions application, you will still have the opportunity to provide it. The Bursar's Office will be mailing correspondence to you at a later date.

All applicants will be assigned a VU ID number, which will serve as your identification number at the university; your SSN is not used for identification purposes.

High School Information

Level of Study

High School Name

Do you attend a Career Center?

Career Center

School Code

High School Graduation or GED/TASC Date

Emergency Contact

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Relationship

Emergency Contact Phone

Emergency Contact Email

Release of Information

Contact for an Emergency (Hidden)

Signature

I understand that to register for courses with prerequisites, I must meet the same academic guidelines as degree-seeking students and that I may be required to take a college placement exam.

Signature

Vincennes University is committed to assisting all members of the community in providing for their safety and security. The 2022 Annual Security and Fire Safety Report is available and can be accessed on the Vincennes University Police Department’s web page.