Supplemental Application for Admission and Scholarships South Dakota School of Mines and Technology Office of Admissions • 501 East Saint Joseph Street • Rapid City, SD 57701 • USA 1-877-877-6044 • (605) 394-2414 • Fax (605) 394-1979 Application Instructions The Supplemental Application is utilized by the School of Mines in making admission decisions for all entering students as well as selecting freshman scholarship recipients. Name          First Middle Last DOB (MM/DD/YYYY)  / / Semester and year you wish to enroll: Fall Spring Summer, then Fall Summer Only, Year 2009 2010 2011 2012 2013 Application Requirements Items 1 through 5 are supplemental items to the South Dakota Board of Regents common application. These items are utilized by the School of Mines in making admission decisions for all entering students as well as selecting freshman scholarship recipients. 1. High school academic information (GPA, rank, etc.) High School GPA High School Ranking out of ACT Composite   ACT Math   SAT Verbal   SAT Math 2. Educational and career goals 3. Offices held, organizations, and affiliations Year(s) Activity Position Held 4. Community activities Year(s) Organization Activity 5. Other information you would like to share with us CITIZENSHIP: USA  Resident Alien  Other If you are not a US Citizen or if you have international academic credentials, please complete the following. If these do not apply to you, please skip to the submit button. If you checked Resident Alien or Other, please specify Citizenship , and Country of Birth , City of Birth Status Select F-1 Academic Student J-1 Exchange Student Other Please specify if other Have you taken any other college or university entrance exams? Date Tested (MM/YYYY)  /   Score (Original score report must be submitted.) Have you taken the TOEFL? Yes No (Test of English as a Foriegn Language)   Date Tested (MM/YYYY) /   Score  How? CBT PBT iBT If you've taken other English profiency exams, please list:   Date Tested (MM/YYYY) /   Score