Must match your passport
Must match your passport
If applicable
Mailing Address
Where all documents wll be sent
Permanent Home Address
Street address where you live
Marital Status
If currently in the United States, indicate your visa status (e.g. F-1, B-2)

I certify that the information in this application is correct to the best of my knowledge and if I am admitted, I agree to observe all the rules and regulations of Northern Michigan University.