11. Employment Record: Describe your employment history (including part-time jobs),
starting with your current or most recent employer
12. Do you desire assistance in seeking part-time employment while in school?
(Please check one): ❑ Yes ❑ No
13. Extracurricular Activities: List the extracurricular activities in which you have
participated (such as honor societies, sports, service organizations), including
leadership positions you have held. You need not include information that may reveal
your race religion or nationality.
14. How did you hear about the Art Institute? _____________________________________
15. Have you visited the Art Institute? (Please check one): ❑ Yes ❑ No
If yes, date visited ______________________________________________________
16. When you attend the Art Institute, will you:
❑ apply for school-sponsored housing?
❑ desire assistance in finding independent housing?
❑ need no assistance with housing?
17. Have you ever been convicted of or pled guilty to a crime other than a summary
traffic offence? (Please check one): ❑ Yes ❑ No
If yes, describe in full ____________________________________________________
(Attach separate sheet if necessary)
18. Please list any Art Institute or other post-secondary schools attended and
reasons why you stopped attending (if you did not graduate). Write “none” if you did
not attend any other post-secondary or Art Institute schools.
19. Please provide information regarding any disciplinary matters you were involved
in at any Art Institute or other post-secondary schools you have attended. Write
“none” if there were no disciplinary matters at any Art Institute or other post-secondary
20. Are you a U.S. citizen? (Please check one): ❑ Yes ❑ No
21. Are you a (Please check one): ❑ Vete