Buena Vista University

Special Student Application

Required Fields (*)

Student Information

Male     Female

Contact Information

Admissions Information

High School     Non-Degree Seeking Student
Yes     No
Mother     Father     Guardian    

Please list both parents' address if divorced or separated:

List all high schools and colleges attended: (*)
SchoolDates attendedReason for leaving

Optional Fields

Single Married Divorced Separated Widowed Other
Baptist Catholic Disciples of Christ Jewish Lutheran Methodist
Presbyterian Episcopal      Other:
White Caucasian Hispanic Native American Asian Black/African American
Asian Hawaiian/Pacific Islander 2 or more races Non Resident Alien (not a citizen)
Other:

By clicking submit, you agree that the information furnished on this application is complete and correct, and that any deliberate omission or falsification of information may result in denial or dismissal.

Any personal information submitted on this page is for the specified use of Buena Vista University and will only be used by Buena Vista University.

Buena Vista University does not discriminate on the basis on an individual's actual or perceived race, color, ethnicity, creed, religion or religious belief, citizenship status, sex, marital status, disability, pregnancy, sexual orientation, gender identity or expression, national origin, military service or affiliation, genetic information, age, or any other basis protected by federal or state law in the administration of its educational policies, admissions policies, scholarships and loan programs, athletic program, and all other University programs and activities, and does not tolerate such discrimination or harassment of and by its faculty, administration, staff, students, and visitors.

Sex discrimination is prohibited by Title IX of the Education Amendments of 1972. It addresses all forms of sexual discrimination, including sexual harassment, sexual violence, sexual assault and intimate partner violence. Buena Vista University does not discriminate on the basis of sex in conformance with Title IX.