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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

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

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?

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 Year
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?

 

 

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