Graduate Admission Application

Application #: W00000000245769
Date Created: 07/02/2021 Date Submitted: 07/02/2021 Signed By: Ranjodh Singh

PERSONAL INFORMATION

Name (as it appears on official documents)

Singh Ranjodh
Last First Middle Former/Maiden Suffix
Social Security Number: '***-**- Gender: Male
Date of Birth: 06/05/1998 Birth City:Jalandhar Birth State:Punjab Birth Country:India

Are you a U.S. Citizen? No

Non U.S Citizens Only: Are you a Permanent Resident? No
Do you currently hold a U.S. Visa? No Visa Type : F1
Country of Citizenship:India

Residency? I am not a resident of Ohio

Please provide background on both your ethnicity and race. This information will be used for reporting purposes only.
Ethnicity: Are you Hispanic/Latino? No
Race: Select one or more races that describe you best:
American Indian or Alaska Native X Asian Black or African American
Native Hawaiian or Other Pacific Islander White
Have you ever pled guilty or been convicted of a criminal offense (excluding offenses that would be classified under Ohio law as Minor Misdemeanors
such as most traffic offenses, disorderly conduct, possession of drug paraphernalia, etc.), or have charges pending against you?
No (At all times as an applicant or a student, you are required to notify the Dean of Students if a plea, conviction or charges pending occur.)

Have you ever been dismissed, suspended or placed on probation by any other college, university or high school for a NON-ACADEMIC reason?
No

CONTACT INFORMATION

Home Address
V.P.O. Shadipur Phillaur Jalandhar PB India 1444039
Street Address City County (Ohio) State Country Zip Code

E-mail Address: ranjodh.a2@gmail.com Home Phone: 0917888520644 Work Phone: Cell Phone:

Would you like to receive important admissions and enrollment information by text? No

EMERGENCY CONTACT / PARENT INFORMATION

Please indicate the nearest relative or person to contact in case of emergency.
What is this person's relationship to you? []Parents []Father [X] Mother [] Guardian [] Spouse [] Relative [ ] Other
Jasveer Kaur 0919914345823
Name Phone Alternate Phone Email
Address same as above: Yes

ENROLLMENT PLANS
 Application Type: Graduate
Degree Type: Master's Degree
Name of Program: Mechanical Engineering M.S.
Entrance Term: Fall Semester 2021

Do you want to be considered for a Graduate Assistantship? Yes

Additional Enrollment Options:

EDUCATION HISTORY

Do you wish to allow us to send your CSU transcript to Ohio community colleges that you have previously attended?
Have you previously applied to Cleveland State University? No When?
Are you currently attending or have you previously attended Cleveland State University? No
Are you currently enrolled in a college or university other than Cleveland State University? No

College Name Enrolled? Awd/Exp? Degree Degr Date Major Other Deg Hrs Earned Last Attnd? Attnd Fr/To
Guru Nanak Dev Engineering N Y Bachelor's 09/02/2020 Mechanical 12 or more Y //
College Engineering semester /
() Ludhiana,PB IND hours

ADDITIONAL INFORMATION

Do you plan to live on campus?

Are you a United States military veteran or currently serving in the military? Branch of US Armed Forces:
Are you a dependent of an active duty member or veteran of the U.S. Armed Forces? No

Essay/Personal Statement

FERPA Statement

The Family Education Rights and Privacy Act (FERPA) of 1974 permits Cleveland State University to release directory (public) information about
students. Directory (public) information includes the student's name, dates of attendance, honors and awards, degrees earned and field of study if degree
was earned, and participation in officially recognized activities and sports.

Students have the right to restrict the release of directory information. Please note that if the release of directory information is restricted, the information
will be withheld from ALL third parties, including prospective employers, loan companies, honor societies, the news media, relatives, friends and more.
Please carefully consider the potential consequences of restricting the release of directory information.

[X]I do not wish to restrict the release of my directory information at this time.
[]I wish to restrict the release of my directory information. I understand that my information will be withheld from ALL sources until this restriction is
retracted by me.