Admission Application

Part 1: Student Information

I am applying for:

Fall

Winter

Spring/Summer

First, middle, and last name exactly as they appear on your passport:

Personal name preference:

Sex

Male

Female

Birth date:

Current University:

BYU ID #

Enter the following format: ##-###-####

Net ID:

Current Major

Current Student Classification

Freshman

Sophomore

Junior

Senior

Phone Number

BYU-designated Email:

Please note that we will exclusively use this email for all correspondence.

Current Mailing Address

City/Town

State/Province

ZIP/Postal Code

Are you a citizen or permanent resident of the United States?

Yes

Country of citizenship:

Additional materials may be required of non-U.S. citizen applicants.

Country of birth:

Type of current visa:

Please explain...

Religious Affiliation

LDS Church member

Other

Please specify

Home ward:

Home stake:

Have you served an LDS mission?

Yes

Date entered MTC:

Date released:

Current name of mission:

Passport Information

Do you have a current passport?

Yes

Place of Birth:

Nationality:

Please enter date of passport application:

Passport Number:

Important Note: Many countries (including Isreal, Jordan, Egypt, and Turkiye), require your passport to have up to six months days of validity remaining beyond your planned dates of travel. For example, if you plan to return from a trip on February 1, your passport should be valid until at least August 1.

Passport Issue Date:

Passport Expiration Date:

Upload a picture of your passport:

One file only.
10 MB limit.
Allowed types: , jpg, jpeg, png, pdf.

Family Emergency Contacts

Family Emergency Contact
Relationship Relationship Enter other… Name Mailing Address City State/Province ZIP/Postal Code Phone Number Email
Relationship Relationship Enter other… Name Mailing Address City State/Province ZIP/Postal Code Phone Number Email