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
Name

Last Name
First Name
Middle Name

Preferred Name
Title
Suffix
__________________________________________________________
Session Year
What is your anticipated major?
__________________________________________________________
__________________________________________________________
Contact Information

Permanent Street Address
Apartment

Town/City
State/Province/Country
Zip/Postal Code

Permanent Phone Number
Cell Phone Number
Email Address
__________________________________________________________
__________________________________________________________
Additional Information

Social Security Number
Place of Birth
Date of Birth
Are you a U.S. citizen?         Yes   No
If not, explain your type of visa and citizenship.
__________________________________________________________
Are you a U.S. veteran?         Yes   No
 Do you receive veterans' benefits?                                       Veteran   Dependent of Veteran
__________________________________________________________

List any health factors or special needs that should be called to our attention.
__________________________________________________________
Do you have a criminal record? Yes   No
If so, please explain.
__________________________________________________________

Religious Affiliation (optional)
Name of Congregation
__________________________________________________________
Ethnicity:

Caucasian   African American   Hispanic  
Native American Asian   Other:

 
Family Information
Father/Male Guardian

Full Name
Title

Occupation
Employer		 Yes   No
Living?

College(s) Attended		 Yes   No
4-year degree?
__________________________________________________________
Mother/Female Guardian

Full Name
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?
Other dates scheduled.
  Verbal Score:

Math Score:

__________________________________________________________
Yes   No
Have you taken the ACT?
If so, when?
Other dates scheduled.
 

ACT Composite Score:

__________________________________________________________
Mars Hill Information
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?
Fee Code (if applicable):