International

Application
for Admission
Telephone:
This completed application form must be accompanied by a nonrefundable one hundred dollar ($100.00) application fee in
U.S. dollars. The check or money order must be drawn on a U.S. bank and be made payable to Florida State University. The
application will not be processed without the fee, and under no circumstances will the University waive or postpone the
application fee. The applicants name and date of birth should be clearly indicated on all methods of payment.
Name and Address
Last (Family) Name________________________________________________ First (Given) Name ______________________________________ Middle Name ____________________
(As it appears/will appear on your passport)
Other name(s) that may appear on your credentials ____________________________________________________________________________
Home Country Address __________________________________________________________________________________________________
Number and Street or Box Number
______________________________________________________________________________________________________________________
City Province or State
______________________________________________________________________________________________________________________
Postal Code Country
Email _________________________________________________________________________________________________________________
Current Mailing Address (if different from above) ______________________________________________________________________________
Number and Street or Box Number City
____________________________________________________________________________________ This address valid until _______ /_________
Province or State Postal Code Country Month Year
Telephone Number / Fax Number /
(if in U.S.) Area Code Number Area Code Number
Personal Data
o Male o Female Date of Birth / /
Month Day Year
Race/National Origin (Please check only one):
o Asian or Pacific Islander o Black (not of Hispanic origin) o Hispanic or Latino o White (not of Hispanic origin)
FSU is a recipient of federal dollars and is required by the federal government to solicit certain demographic information to meet federal reporting requirements. You are
requested to provide this information voluntarily. This information will not be used in a discriminatory manner.
City and Country of Birth _________________________________________________________________________________________________
City Country
Country of Citizenship _______________________________________________ Native Language ____________________________________
If you have a U.S. social security number, enter the number here and enclose a photocopy of the card / /
Enrollment Objectives
For which term, in which
year, do you seek admission?
o August 20 ___________
o January 20 ___________
o May 20 ___________
o June 20 ___________
Undergraduate Student
o First-Time-In-College Freshman
o Undergraduate Transfer
o Second Bachelors Degree
Graduate Student
o Masters
o Advanced Masters
o Specialist
o Doctorate
This application is for enrollment as:
Proposed Academic Program and Major Code. Refer to the
International Brochure or to www.admissions.fsu.edu/
intl/programs.htm for a list of majors.
This must be completed.
Academic Program
______ ______ - ______ ______ ______ ______
Major Code
Florida State University encourages applications for admission from qualified students regardless of gender, culture, race, religion, ethnic background, national origin, age, or
disability. This document is available upon request in alternative format for individuals with print-related disabilities.
Have you previously submitted an application to FSU? o Yes o No
Did you enroll? o Yes o No Are you currently enrolled? o Yes o No
Please print or type.
Fax:
+507-317-0367
+507-317-0366
E-mail: fsupanama@fsu.edu
Webpage: http://panama.fsu.edu/
List in chronological order all secondary and postsecondary schools, colleges, universities, or other institutions you have attended or are currently attending. Use a
separate sheet, if necessary. Please do not abbreviate. Official academic records, in the native language and English, must be submitted from each institution attended.
You must include schools even if you did not complete a term. Include FSU if you attended previously. For multi-campus institutions, indicate a specific campus.
Failure to list all institutions could result in your application being denied or your admission being rescinded.
Educational Background
Secondary schools
Postsecondary schools, colleges, universities, and/or other institutions
Dates of Attendance
Name
City State/Country
Certificates, degrees, and/or diplomas earned/expected.
Use exact title, i.e., Diplom, Matrise, etc.
Mo / Yr Mo / Yr Mo / Yr Degree
From To
Name of Institution
Title of Courses(s)
Date Course
Will End
Mo / Yr
Credit
Hours
(Sem/Qtr)
Date Course
Will End
Mo / Yr
Credit
Hours
(Sem/Qtr)
Courses in which you are now enrolled. Courses you expect to complete before entering FSU.
Mo / Yr Mo / Yr Mo / Yr Degree
Name
City State/Country
Name
City State/Country
Name
City State/Country
Name
City State/Country
Name
City State/Country
Name of Institution
Title of Courses(s)
Present Secondary School/College/University Enrollment
If you are currently enrolled in a secondary school, postsecondary school, college, university, or other institution, list all coursework (subjects) in
which you are now enrolled and/or expect to complete before entering FSU. Use a separate sheet, if necessary.
If you are not currently enrolled and do not expect to complete any coursework, check here. o
Employment/Activity Information
If there has been a period of time, other than summer vacations, when you were not enrolled in school, please explain what you were doing (i.e.,
work, military, travel). Use a separate sheet, if necessary. If you are not currently enrolled in school, include your present activities.
TOEFL Date ______________ L __________ S __________ V __________ TWE ___________ Total __________________
IB TOEFL Date ______________ L __________ R ______ S __________ W _____________ Total __________________
SAT Date ______________ CR ______ MA _____ Total__________ WR _____ ES _______
ACT Date ______________ EN __________ MA __________ RE _________ SR ____________ Composite ________ E/W ______ WR _____
Florida CLAST Date ______________ Math ________ Reading _________________ Writing _______ Essay _____________________
GRE Date ______________ Verbal _______ Quantitative ___________ Total ______________ Writing ___________________
GMAT Date ______________ Verbal _______ Quantitative ___________ Total ______________ Analytical ________________
Standardized Test Information
Please list all dates on which you took, or are planning to take, the following tests. Include score results, if known, and attach copies if available.
Official scores must be sent directly to Florida State University by the testing agency.
If English is not your native language, and you have not studied full-time in an English-speaking country for at least one academic year, a
TOEFL score is required.
(CR + MA)
From To
Employment/Activity Mo Yr Mo Yr
Continues on the next page
Important: You must read and sign the following section in order to complete your application to FSU.
I understand that this application is for admission to Florida State University and is valid only for the term indicated on the application.
I also understand and agree that I will be bound by the Universitys regulations concerning application deadline dates and admission
requirements. I further agree to the release of all transcripts and test scores to this institution, including test score reports that this institu-
tion may request.
I certify that the information given in this application is complete and accurate and I understand that to make false or fraudulent state-
ments within this application or Certification of Financial Responsibility Form may result in disciplinary action, denial of admission, and
invalidation of credits or degrees earned. If admitted, I agree to abide by the policies of the Florida Board of Education and the rules and
regulations of Florida State University. Should any of the information I have given change prior to my enrollment at the University, I shall
immediately notify the Office of Admissions.
I understand that the one hundred dollar ($100.00) U.S. check or money order that must accompany this
application is a nonrefundable fee, and that this application and all supporting materials become the property of
Florida State University. No items will be returned to the applicant or forwarded to other institutions or third
parties.
This application and all accompanying academic materials should be sent via courier to:
Florida State University-Panama
Bldg. 227, Jacinto Cobos Street
City of Knowledge
Clayton, Rep. of Panama
_________________________________________________________________________________________________________________________________________________________________________
Applicants Signature (in ink) Date
Failure to answer these questions will result in a delay in processing your application.
oYes o No Are you currently, or have you ever been, charged with or subject to disciplinary action for scholastic or any other
type of behavioral misconduct at any educational institution? You do not need to disclose academic dismissal,
suspension, or probation for poor grades. However, you will be required to furnish FSU with a written explanation of
the event(s) if there was academic misconduct (such as plagiarism or cheating) or behavioral misconduct, and tell us
what you have learned from your past action(s).
oYes o No Have you ever been charged with a violation of the law which resulted in, or if still pending could result in,
probation, community service, a jail sentence, or the revocation or suspension of your drivers license (including
trafc violations which resulted in a ne of $200 or more)? You will be required to furnish FSU with a list of all
violations, and include a statement telling us what you have learned from your past action(s).
oYes o No Have you ever been charged with a felony (even if adjudication was withheld)? You will be required to furnish
FSU with a copy of your criminal background history from each state in which the violation(s) occurred. If the
violation(s) occurred in Florida, the criminal background history can be emailed to the Ofce of Admissions at
admsofcer@admin.fsu.edu from the Florida Department of Law Enforcement (www.fdle.state..us). You will
also be required to furnish a statement telling us what you have learned from your past action(s).
If your answer to any of the above questions is yes, the University reserves the right to request additional information. If your records
have been expunged pursuant to applicable law, you are not required to answer yes to these questions. If you are unsure whether
you should answer yes, we strongly suggest you answer yes and fully disclose all incidents. By doing so, you can avoid any risk of
disciplinary action or revocation of an offer of admission.