Making+Meaning x SIVA 2024

Section 1: Candidate Information
Page 1 of 1
Personal Information
1. 

First Name (Given Name)

*Required, Maximum characters allowed: 30
2. 
Middle Name
Maximum characters allowed: 30
3. 
Last Name (Family Name)
*Required, Maximum characters allowed: 60
4. 
Preferred First Name (if different than first name)
Maximum characters allowed: 30
5. 

Gender

*Required
6. 
Date of Birth (mm/dd/yyyy)
*Required, Format: mm/dd/yyyy
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Contact Information
7. 

Current Address (Line 1)

*Required, Maximum characters allowed: 60
8. 

Current Address (Line 2)

Maximum characters allowed: 60
9. 

Current City

*Required, Maximum characters allowed: 25
10. 

Current State

11. 

Current Zip Code

Format: 12345 OR 12345-6789 OR 123456789 OR A1B 2C3
12. 

International State/Province
(only required for addresses outside of the US or Canada)

Maximum characters allowed: 60
13. 

Country 

(only required for those countries other than the US)

14. 

Home Phone Number

Maximum characters allowed: 18
15. 
Cell Phone Number
Maximum characters allowed: 18
16. 

E-mail Address

*Required, Maximum characters allowed: 60
Most Recent School Attended

Please include information for your current school (or most recently school attended if not currently enrolled).  This information may be from a high school, community college or university.

17. 

School Name

Maximum characters allowed: 120
18. 

What city is your school located in?

Maximum characters allowed: 25
19. 

What state is your school located in? (US/Canada only)

20. 

What country is your school located in (only required for schools located outside of the US)?

21. 

When did you begin your studies at this school? (mm/dd/yyyy)

If an exact date is unknown, please make your best estimate.

 

Format: mm/dd/yyyy
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22. 

When did you end your studies at this school? (mm/dd/yyyy)

If you are currently attending, when do you anticipate you will end your studies? (mm/dd/yyyy)

If an exact day is unknown, please use the first "01" of the month.

Format: mm/dd/yyyy
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23. 

What is the major you selected to study at this school?

24. 

What degree have you earned (or will you earn) at this institution? If no degree will be earned, please select "no degree". 

25. 

Did you graduate from this institution?

26. 

When did you graduate (or will you graduate) from this institution?

If an exact date is unknown, please make your best estimate. 

Format: mm/dd/yyyy
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27. 
By typing my initials here, I certify that answers given herein are true and correct to the best of my knowledge. In the event of admission to SCI-Arc, I understand that false and misleading information given in my application may result in disqualification from admission or enrollment in to any given program.  
*Required, Maximum characters allowed: 5
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