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MARS HILL COLLEGE APPLICATION FOR ADMISSION
A $25 application fee is required with this application. Please fill out the entire form carefully and furnish complete information; failure to do so may result in a processing delay. Please do not use quotation marks in any of your responses.
Applicant Information
Full Name
Last Name
First Name
Middle Name
Preferred Name
Mr.
Ms.
Mrs.
Miss
Title
Suffix
Contact Information
Permanent Street Address
Apartment
Town/City
State/Province/Country
Zip/Postal Code
Permanent Phone Number
Current Phone Number
Email Address
Additional Information
Social Security Number
Place of Birth
Date of Birth
Yes
No
Are you a U.S. citizen?
If not, explain your type of visa and citizenship.
Yes
No
Are you a U.S. veteran?
Veteran
Dependent of Veteran
Do you receive veterans' benefits?
List any health factors or special needs that should be called to our attention.
Yes
No
Do you have a criminal record?
If so, please explain.
Religious Affiliation (
optional
)
Name of Congregation
Ethnicity:
Caucasian
African American
Hispanic
Native American
Asian American/Pacific Islander
Other:
Family Information
Father/Male Guardian
Full Name
Mr.
Dr.
Rev.
Title
Occupation
Employer
Yes
No
Living?
College(s) Attended
Yes
No
4-year degree?
Mother/Female Guardian
Full Name
Ms.
Mrs.
Dr.
Rev.
Title
Occupation
Employer
Yes
No
Living?
College(s) Attended
Yes
No
4-year degree?
Additional Information
If you do not live with both parents, with whom do you live?
Relationship?
Full Address
If you are married, what is your spouse's name? (
optional
)
Educational Data
Note:
It is your responsibility to have all official high school transcripts, college transcripts, SAT or ACT scores, and freshman or transfer recommendation links (as appropriate) forwarded to the Admissions Office at Mars Hill College.
Schools/Colleges Attended
School Name
City/State/Zip Code
Dates of Attendance & Graduation
School Name
City/State/Zip Code
Dates of Attendance & Graduation
School Name
City/State/Zip Code
Dates of Attendance & Graduation
School Name
City/State/Zip Code
Dates of Attendance & Graduation
Name of High School Guidance Counselor
Phone
Extracurricular activities, including employment, offices held, & honors received:
Standardized Tests
Yes
No
Have you taken the SAT?
If so, when?
If not, when do you plan to take it?
Verbal Score:
Math Score:
Yes
No
Have you taken the ACT?
If so, when?
If not, when do you plan to take it?
ACT Composite Score:
Mars Hill Information
Session
Fall
Spring
Summer
Year
2006
2007
2008
What is your anticipated major?
List in order three extracurricular activities you would like to participate in while at Mars Hill College:
Will you be applying for financial aid?
Yes
No
Who or what most influenced you to apply to Mars Hill?
To which other colleges are you applying?
About MHC
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Copyright 2006-08
- Mars Hill College
PO Box 370
100 Athletic Street, Mars Hill, NC 28754
1-866-MHC-4-YOU
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