Social Security Number
Please enter any other last name(s) on transcripts:
Do you have a preferred name?
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Home Phone Number
Cell Phone Number
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Doctor of Chiropractic Application for Admission
The following application is for students interested in our Doctor of Chiropractic program. This application will remain active for one year.
This application includes questions on: personal data, background, education, and references. You must complete all sections before the application can be reviewed by the admissions department. It should take between 15-30 minutes to complete the application once you have the necessary information including:
ENTRANCE YEAR AND TERM
I am applying for entrance in the following year and term in the College of Chiropractic:
Choose a program of study:
What academic year do you want to start?
What term do you want to start?
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Date of Birth (mm/dd/yyyy)
Are you Hispanic or Latino?
Select one or more of the following races:
Are you an employee of Parker University?
Is your spouse an employee of Parker University?
Is your father/mother an alumnus of our school?
Is your father/mother an employee of our school?
Please provide all applicable information.
Contact First Name
Contact Last Name
Are you currently on active duty?
Are you an United States veteran?
For what branch of the military are you a veteran?
For what branch of the military are you currently serving?
The following questions are applicable to foreign students only. Supporting documentation will be required.
Are you here on a visa?
What type of visa is it?
Alien registration number
Are you naturalized?
Do you have an I-20?
Are you eligible for U.S. federal loans?
Have you taken the TOEFL test with a score of 550 (paper based) or 213 (computer based) or better?
A graduate’s ability to obtain a chiropractic license may be impacted by misdemeanor or felony convictions. Applicants should familiarize themselves with the laws of the states in which they wish to practice by visiting the Federation of Chiropractic Licensing Board website or individual state board websites. Applicants must disclose arrest and conviction records on the application for admission. All students in the Doctor of Chiropractic degree program complete a background check during their first trimester of enrollment. Failure to disclose arrests or convictions may result in penalties up to and including dismissal from the Doctor of Chiropractic program.
Have you ever been charged with a criminal misdemeanor/felony offense?
Please explain all charges or convictions.
Please choose how you will fund your education.
Will you be requesting financial aid?
Will you be using military benefits to pay for your education?
Please list colleges/universities in order of attendance with the most recent first.
Click the "Add" button to update previous college/university attended list.
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