Online Application

Graduating High School *

Class Rank *

Example 0094/0200

GPA *

On a 4.0 Scale

address *

City *

State *

Zip Code *

Phone Number *

Alternate Phone Number

Parent/Guardian *

Occupation *

Parent/Guardian

Occupation

Number of Dependents residing at home *

(This number includes the applicant)

Dependents Ages *

Number of Dependents at College *

Dependents Ages *

List community service activities and hours participated *

List activities, leadership positions/offices held and honors outside of school (community, church, etc.) *

List high school activities, sports, and leadership positions/offices held *

Have you applied for admission to a college or university? *

Yes

No

Have you received acceptance notification *

Yes

No

Name of College or University *

What field of study do you wish to pursue *

please upload a 150 word concise response to each of the following questions:(1) Why Do You Want to Attend College? (2) What Have You Done to Prepare Yourself for College? (3) Please describe an obstacle that you were able to overcome. *