ALUMNI AUDIT APPLICATION

PERSONAL INFORMATION

USE ONLY LEGAL NAME

*Full Name:

*SURNAME/FAMILY/FATHER'S NAME:

*Given Name:

Preferred First Name:

*Date of Birth:

Month

Day

Year

CONTACT INFORMATION

Please notify DigiPen immediately if your contact information changes at any time during the application process

*Email:

*Telephone Number:

Mobile Phone Number:

Create a password for your application.
Passwords must have at least 6 characters and may contain any of the following:
Uppercase letters, lowercase letters, numbers and symbols.

*Password:

*Confirm your password:

6-character minimum; case sensitive

Current Mailing Address

*Street and number:

Apartment:

*City:

[*]State (if US):

[*]Province (if Int'l):

[*]Zip Code (if US):

[*]Postal Code (if Int'l):

*Country:

ALUMNI AUDIT ENROLLMENT PROGRAM

All items including, but not limited to, application forms, transcripts, recommendation letters, resumes, software, and accompanying documentation or works of art (collectively 'the Items'), forwarded to DigiPen Institute of Technology by any person ('the Sender'), whether at the request of DigiPen or otherwise, become the exclusive property of DigiPen unless otherwise agreed to in writing by DigiPen, and DigiPen shall be under no obligation whatsoever to return the items to the Sender. At DigiPen's discretion, the Items may be destroyed after being reviewed. DigiPen will notify applicants upon receipt of this application form.

By clicking Accept, I, the applicant, agree and accept that withholding information in this application, failure to submit all documents, or giving false information may make me ineligible for admission to, or continuation at, DigiPen Institute of Technology. Upon submission of this document, I certify that all of the statements I have made in this application are correct and complete to the best of my knowledge. Additionally, I waive the right to view any recommendation letters sent to DigiPen Institute of Technology on my behalf. I hereby give permission to release any academic records requested by DigiPen Institute of Technology.

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