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At Keiser University, You Receive Your Education One Class at A Time

Your Future is in Your Hands!

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A US $50.00 non-refundable application fee must accompany this application. / Un arancel no reembolsable de US $50.00 por trámites debe acompañar esta solicitud.

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Student Information
Informacion del Estudiante

Parent(s)' Information
Información de los Padres

Other Information
Otra Información

List high school and community activities in which you participated and honors you have received / Anote las actividades en que ha participado en su comunidad, secundaria y honores recibidos

How did you hear about Keiser University Latin American Campus? / ¿Cómo se enteró de Keiser University Latin American Campus?

The following information will be used for institutional research and federal reports only. It will in no way affect the applicant's eligibility for admission to Keiser University Latin American Campus. / La siguiente información se utilizará para investigación institucional e informes federales únicamente. De ninguna manera afectará la elegibilidad del solicitante para ser admitido en Keiser University Latin American Campus.

Country of citizenship ( List all if you have more than one ) / Ciudadanía ( Indique sÍ tiene más de una )

Do you have a disability or are under any type of medication? / ¿Tiene alguna discapacidad o se encuentra bajo algun tipo de medicación?

Give the name of each college or university in which you have enrolled since your high school graduation with the dates of your attendance. Official transcripts of all colleges and universities must be furnished by the applicants. Failure to give full and complete information on this matter may result in loss of credit or dismissal. / Indique el nombre de cada universidad en que se ha matriculado desde su bachillerato con las fechas en que asistió. El estudiante debe someter certificados de notas oficiales de los cursos universitarios. Negarse a revelar información completa sobre este asunto puede resultar en pérdida de créditos, suspensión/expulsión.

Have you been placed on academic or disciplinary probation, suspended or dismissed from any school or college? / ¿Ha sido sancionado por motivos académicos o disciplinarios, suspendido o expulsado de alguna escuela o universidad?

If yes, explain / En caso afirmativo, favor explicar

I am fully aware that Keiser University Latin American Campus expects a high standard of performance from each of its students in both academic and personal conduct. I am in agreement with these principles and, if accepted for admission, I promise to abide by all rules and regulations of the University. I understand that if any information on this form is found to be inaccurate or incomplete, it will be sufficient cause for my rejection or dismissal. / Keiser University Latin American Campus espera un alto rendimiento académico y buena conducta del estudiante. Estoy de acuerdo con estos principios y, si soy aceptado, prometo obedecer el reglamento de la Universidad. Entiendo que si alguna información en esta solicitud es incorrecta o incompleta será suficiente motivo para ser rechazado(a) o expulsado(a).

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