Step
1
Application details
Step
2
Current and previous studies
Step
3
Visa and contact details
Step
4
Documents and other information
University of Connecticut Application Form
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Application details
UTM Parameters
Campaign Name
Campaign Source
Campaign Content
Campaign Medium
Campaign Term
Your University of Connecticut application
I am making this application as:
a student on my own
a student with the help of an agent
an agent on behalf of the student
I confirm that I am helping student named below to fill in this application form on behalf of the student and have obtained the consent to do so from student and/or student’s parent or guardian.
Agreed
Agent's contact details
After entering your contact details below, the rest of the application form is related to the student. Agents must answer on the applicant's behalf. However, only the applicant can sign the student declaration in Step 4.
Agency organization name
Agent branch
Country or region
Country or region_Id
Country or region_Name
Counsellor/Agent first name
Counsellor/Agent last name
Counsellor Fullname
Agent's email
Agent's email for confirmations
DO NOT DELETE, THIS ENABLES AGENT CONFIRMATION EMAILS
Student's personal information
Prefix
Mr.
Mrs.
Ms.
Dr.
Preferred pronouns
He/Him
She/Her
They/Them
First name/Given name(s)
Surname/Family name(s)
Student Opportunity Name
Date of birth
Date must be in "DD/MM/YYYY" format with forward slashes and no spaces.
Country or region of birth
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Democratic Republic of)
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea (South)
Kosovo
Kuwait
Kyrgyzstan
La Reunion
Laos (Democratic Republic of)
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Lucia
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St. Kitts and Nevis
St. Vincent and the Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Citizenship
(as shown in your passport)
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Democratic Republic of)
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea (South)
Kosovo
Kuwait
Kyrgyzstan
La Reunion
Laos (Democratic Republic of)
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Lucia
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St. Kitts and Nevis
St. Vincent and the Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Do you hold another citizenship?
Yes
No
Second citizenship
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Democratic Republic of)
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea (South)
Kosovo
Kuwait
Kyrgyzstan
La Reunion
Laos (Democratic Republic of)
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Lucia
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St. Kitts and Nevis
St. Vincent and the Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Check Student National
This field is created as a workaround to avoid showing the Sexual orientation question to Chinese students RE: https://kaplan-international.atlassian.net/browse/SFCOE-3558. DO NOT DELETE
Sexual orientation
(optional) - Do you consider yourself to be:
Please select...
Asexual
Bisexual
Demisexual
Gay
Heterosexual or Straight
Lesbian
Pansexual
Queer
Questioning or unsure
Same-gender loving
Other
Prefer not to say
If other, please specify
Gender
Male
Female
If you would like to share information about your gender identity, please do so below:
Please select...
Agender
Cisgender man
Cisgender woman
Gender non-conforming/non-binary
Transgender man
Transgender woman
Other
Prefer not to say
If other, please specify
If you have a previous relationship with the University of Connecticut and know your NetID, please list it here:
Study details
I am applying for:
Bachelor's degree: year 1 admission
Bachelor's degree: year 2 or 3 transfer admission
When do you want to start your studies at the University of Connecticut?
Please select...
Fall 2024
Intake_Variable
In which academic college do you want to study your first choice program?
Please select...
School of Law
College of Liberal Arts and Sciences
College of Agriculture, Health and Natural Resources
School of Business
School of Engineering
Academic Center for Exploratory Students
Neag School of Education
Engineering/Business Administration
School of Dental Medicine
School of Fine Arts
School of Medicine
School of Nursing
School of Pharmacy
UConn American English Language Institute
Department_Variable_First
Specify your first choice program:
Program_Variable_First
Specify the campus you would like to study in
Storrs - main campus
Avery Point - regional campus
Hartford - regional campus
Stamford - regional campus
Waterbury - regional campus
Campus_Variable_First
Do you want to apply for a backup (second choice) program?
Yes
No
In which academic college do you want to study your second choice program?
Please select...
School of Law
College of Liberal Arts and Sciences
College of Agriculture, Health and Natural Resources
School of Business
School of Engineering
Academic Center for Exploratory Studies
Neag School of Education
School of Business & School of Engineering
School of Dental Medicine
School of Fine Arts
School of Medicine
School of Nursing
School of Pharmacy
UConn American English Language Institute
Department_Variable_Second
Specify your second choice program:
Program_Variable_Second
Specify the campus you would like to study in for your second choice
Storrs - main campus
Avery Point - regional campus
Hartford - regional campus
Stamford - regional campus
Waterbury - regional campus
Online
Campus_Variable_Second
First_Choice_Text
Second_Choice_Text
Current and previous studies
Secondary/high school
Please ensure to add information for secondary/high school(s) attended for grades 9 through 12.
Name of current or most recent secondary/high school
Address line 1
Address line 2
City
State/Province
ZIP/Postal code
Country or region
Country or region_Id
Date your attendance started
Date your attendance ended
Have you previously attended, or are you currently attending, a college or university?
Yes
No
Colleges and Universities
Name of current or most recent college/university
Address line 1
Address line 2
City
State/Province
ZIP/Postal code
Country or region
Country or region_Id
Date your attendance started
Date your attendance ended
Visa and contact details
US studies and visas
What type of US visa do you have?
Please select...
F-1 student visa
J-1 visa
Another type of visa
None - I will apply for a visa
Visa expiration date
If you intend to apply for a new or different US visa, please indicate that visa type
Please select...
F-1 - student visa
J-1 - visa
Another type of visa
None
Have you previously applied to the University of Connecticut?
Yes
No
Date you previously applied to the University of Connecticut
Student's contact details
Email
Cellphone or US phone number
Mobile Number should be Formatted as [+] [country code] [subscriber number including area code] - Example: +4479789797979
Home phone number
Number should be Formatted as [+] [country code] [subscriber number including area code] - Example: +4479789797979
Address details
Current country or region
–
where you live now?
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos [Keeling] Islands
Colombia
Comoros
Congo [DRC]
Congo [Republic]
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands [Islas Malvinas]
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia [FYROM]
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar [Burma]
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Current address line 1
Current address line 2
Current city
Current state/province
Current region in India
Please select...
North & East
South
West & Central
Current ZIP/postal code
Mailing address for immigration documents
(must be sent to student or next of kin)
Address line 1
Address line 2
City
State/Province
ZIP/Postal code
Country or region
Country or region_Id
Financial information
Name of fee payer
Please upload a copy of the fee payer's passport
Bank name of fee payer
Please upload a copy of the fee payer's bank statement
Emergency contact details
Emergency contact name
Emergency contact phone number
Mobile Number should be Formatted as [+] [country code] [subscriber number including area code] - Example: +4479789797979
Emergency contact email
Relation to applicant
Please select...
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Twin
Triplet
Other
If other, please specify
Documents and additional information
The following item relates to your sensitive personal information which is necessary for your application, please tick the box below to give your explicit consent.
China specific consent
By checking this box, I hereby confirm that I am over 16 years old, and explicitly agree you to collect, store, use, share, transfer, disclose or process the following sensitive personal information.
Character questions
Have you ever been found responsible for an academic misconduct violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward that resulted in a disciplinary action?
Yes
No
Provide details, approximate date(s), and explain the circumstances surrounding each incident
Have you ever been found responsible for a behavioural misconduct and/or other disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward that resulted in a disciplinary action?
Yes
No
Provide details, approximate date(s), and explain the circumstances surrounding each incident
Document checklist and upload
Test Optional: UConn has currently administered a Test Optional Policy. You can elect whether or not you would like to include your standardised test scores (SAT or ACT) in the evaluation of your application:
Yes, I would like my SAT or ACT score to be considered
No, I do not want my SAT or ACT scores considered (also choose this if you haven’t taken SAT/ACT)
Select the documents you are uploading with this application
Proof of English proficiency (TOEFL, IELTS or Duolingo score)
Official transcripts for the last 4 years at secondary school or post-secondary institutions, including final diploma/certificate if available
Personal statement of 250 to 650 words on a topic (e.g. a meaningful story of your background, your identity, an interest, or a talent) that will add a unique voice to your application as well as demonstrate writing ability
2 letters of recommendation to help distinguish your character (optional but encouraged)
Passport copy
Previous I-20 or copy of visa (if you have studied in the USA)
External credential evaluation, e.g. from WES (transfer applicants only)
Portfolio (if applying to fine arts programs)
SAT or ACT score (optional)
Resume or list of extracurricular activities (highly encouraged)
Attach document
Document checklist and upload
You can now upload documents to support your application. These may include:
Proof of English proficiency (TOEFL, IELTS or Duolingo score)
Official transcripts for the last 4 years at secondary school or post-secondary institutions, including final diploma/certificate if available
Personal statement of 250 to 650 words on a topic (e.g. a meaningful story of your background, your identity, an interest, or a talent) that will add a unique voice to your application as well as demonstrate writing ability
2 letters of recommendation to help distinguish your character (optional but encouraged)
Passport Copy
Previous I-20 or copy of visa (if you have studied in the USA)
External credential evaluation, e.g. from WES (transfer applicants only)
Portfolio (if applying to fine arts programs)
SAT or ACT score (optional)
Resume or list of extracurricular activities (highly encouraged)
Select the type of document you are uploading with this application
Please select...
Proof of English proficiency (TOEFL, IELTS or Duolingo score)
Official transcripts for the last 4 years at secondary school or post-secondary institutions, including final diploma/certificate if available
Personal statement of 250 to 650 words on a topic (e.g. a meaningful story of your background, your identity, an interest, or a talent) that will add a unique voice to your application as well as demonstrate writing ability
2 letters of recommendation to help distinguish your character (optional but encouraged)
Passport copy
Previous I-20 or copy of visa (if you have studied in the USA)
External credential evaluation, e.g. from WES (transfer applicants only)
Portfolio (if applying to fine arts programs)
SAT or ACT score (optional)
Resume or list of extracurricular activities (highly encouraged)
Attach document
Additional information
Questions and comments
Do you have questions about the application process, study options, start dates, entry requirements, visa regulations, etc? Ask them here.
Preferred residence during your first year
On-campus housing
Off-campus private arrangement
Not sure
Subscribe to promotions
Check this box to receive additional periodic promotions, such as information about other programs or scholarships. You can unsubscribe at any time.
Declaration
To find out more about how we handle private information, please see our
privacy policy
.
Agent declaration
I declare that as the educational agent I have permission from the student to act on behalf of the student for their application. The student will comply with the student declaration below.
Student declaration
I certify that all the information supplied in this form is correct and complete, and understand that any misrepresentation or falsification, including failure to report any college or university attendance, is sufficient cause for cancellation of enrollment and/or credits earned and could result in other disciplinary action. I authorize Kaplan International to supply any relevant records relating to my attendance and progress, including personal records, contact details, and disciplinary records, to Kaplan's employees, staff, affiliates, agents, representatives, and others working on Kaplan’s behalf, as well as to the U.S. Department of Homeland Security, state and accrediting agencies, the University, my parents, guardian, or sponsor. I hereby consent to you contacting any school or institution at which I have previously studied in order to verify the information I have provided in the application and hereby authorize such school or institution to disclose such information.
.
I hereby confirm that I am over 16 years old. I agree and have given my consent to Kaplan International Pathways and/or its affiliates to:
.
Collect, store, use, transfer, process or handle my personal information including my sensitive personal information.
.
Transfer or share my personal information including my sensitive personal information outside the People’s Republic of China for the purposes of this application.
.
Provide my personal information to any other data controllers or data processors for processing my personal information in support of my application.
.
Disclose my personal information including my sensitive personal information to relevant authorities for purposes of this application or as required by applicable laws and regulations.
By entering my name into the text box and clicking submit application, I am hereby certifying and agreeing to the terms of the student declaration set out above.
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