Search
Home
Saved
0
459 views
Sign In
Upload
Join
RELATED TITLES
0
MIT Application Part 1 Uploaded by rothstem
Top Charts
Books
Audiobooks
Save
Embed
Share
Print
i-130
1
Download
Magazines
News
of 2
Pma Cert Booklet and App
A P P L I C AT I O N F O R F R E S H M A N Office of Admissions Massachusetts Institute of Technology Room 3-108 77 Massachusetts Avenue Cambridge, MA 02139-4307
Documents
A D M I S S I O N 1
(617) 253-3400
Sheet Music
Search document
Part 1
1 1357605 2017 Music Creation
Biographical inform i nformation ation
! t n a Last / Family name t r o p m I Date of birth ( Month / Day /Year )
First / Given name
Have you applied to MIT for freshman admission b No Yes, year
MIT has a two-part application process: This form is Part 1. You should return this form to the address above immediately. You must also include the non-refund application fee (U.S. funds only). Please attach to the front of this application a chec check k made payable to “MIT Office of Admission process your application without the Part 1 and fee. If you qualify for a fee waiver, attach attach the SA SAT T Request for Waiver of College Fee form (or an official letter letter from your guidance counselor, principal or other school official) to this application.
The second part of the application process includes the Essays, activities, and tests form; teacher evaluations; Secondary scho Self-reported course work form. All pieces should be postmarked no later than the following dates: Early Action – November 1
Regular Action – January 1
The Midyear Report form should be submitted online as soon as first term grades are available. 2 I intend to apply (check the appropriate box): Early Action (For U.S. citizens and Permanent Residents only)
You must complete all required standardized tests on or before the You November test date. 3
Regular Action
You must complete all required standardized tests on or before t January test date.
Biographical Information
Applicant’s Legal Name Applicant’s Last / Family name
First / Given name
Applicant’s Preferred Name
Female
Place of birth
Home (permanent) Address
Mailing Address
Street address
City
Suffix
Male
U.S. Social Security Number
City / State or Province / Country
4
Middle initial
(if different from your home address)
Street address
State or province
Country
Zip or postal code
Telephone
City
State or province
Zip or
Country
•
Telephon
Valid Vali d from: _____/_____/_____ through through _____/_____/_____ beginning date
ending date
Email
5
Citizenship Information (Choose one option below): U.S. Citizen
U.S. Permanent Permanent Resident (Green Card holder): Country of citizenship
If you are a Permanent Resident, you must mail in a copy of your Green Card to the Office of Admissions. Alien Registration Numbers cannot be accepted in lieu of a Green Card. Non-U.S. Citizen/Non-U.S. Citizen/Non-U.S. Permanent Resident: Country of citizenship
Visa Type (if applicable) (F-1, J-1, etc.)
6
Ethnicity Information (optional)
Sign up to vote on this title
In connection with its Affirmative Action Plan, the Massachusetts Institute of Technology guarantees opportunity in educa Not useful Useful equal students of all racial and ethnic backgrounds. I consider myself to belong to the following ethnic group(s) (check all that apply): 1) Are you Hispanic or Latino?
Home
Saved
Top Charts
Books
Audiobooks
Magazines
News
Documents
Sheet Music
Upload
Sign In
Join
Search
Home
Saved
459 views
0
Sign In
Upload
Join
RELATED TITLES
0
MIT Application Part 1 Uploaded by rothstem
Top Charts
Books
Audiobooks
Save
Embed
Share
Print
i-130
1
Download
Magazines
News
of 2
A P P L I C AT I O N
F O R
Search document
F R E S H M A N
Last / Family name
1 1357605 2017 Music Creation
A D M I S S I O N
Part 1
Documents Sheet Music
Pma Cert Booklet and App
7
First / Given name
Middle initial
Date of birth
Family Information
Mother:
Mother living?
Mother’s Last / Family name
Yes
First / Given
No
Father:
Father living?
Middle initial
Father’s Last / Family name
Mother’s occupation
Father’s occupation
Mother’s employer
Father’s employer
High School graduate?
Yes
Name of university, if any?
Yes
Middle
No
Name of university, if any?
Degree
Year
Degree
Name of professional or graduate school, if any? Degree Married
Year
Name of professional or graduate school, if any? Degree
Year
Parents’ marital status:
No
First / Given
High School graduate?
No
Yes
Never Married
Year
Widowed
Separated
Divorced Date separated
If divorced or separated, live with:
Mother
Father
Other
If your legal guardian is someone other than your parent, list name, address, relationship, and occupation.
If you have brothers and/or sisters, give their names and ages. If appropriate, list college, degree and year of graduation next to (Attach additional sheets if necessary)
You're Reading a Preview
Unlock full access with a free trial.
What language is primarily spoken at home?
If any members of your family have attended MIT, check the boxes below, give name(s), class years, relationship to you, and degree. Download mother
father
grandparents
siblings # attended
If any members of your family are employed by MIT to you, and position at MIT. Withrelationship Free Trial
other # attended
If any members of your family are faculty at MIT, give name(s), relationship to you, and position at MIT.
If any members serve as an Educational Counselor (M interviewer), give name(s) and relationship to you.
Sign up to vote on this title
8
Useful
Not useful
Educational History List the secondary schools (high schools) you have attended or are attending (if more than one, put current one fi
Home
Saved
Top Charts
Books
Audiobooks
Magazines
News
Documents
Sheet Music
Upload
Sign In
Join
