Application for Admission - Concordia College Selma

Concordia College-Selma

Application for Admission

INSTRUCTIONS: Complete or check blocks that apply to you. All required fields must be completed in order to submit your application.

Concordia College is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools.

Online Admission Application:

I am applying as:

(1 required)

	Beginning Freshman			Transfer
	Special (Non-Degree)			Returning Student

I am applying for:

(1 required)

Spring Semester 2010

Fall Semester 2010

STUDENT INFORMATION:

Last Name, First Name, M.I. (Maiden)

Home Street Address:

City, State, County, Zipcode:

Telephone Number:

Email Address:

Sex:

Female

Male

Marital Status:

(1 required)

	Married			Single
	Divorced			Separated

10.

Date of Birth (month/day/year):

11.

Place of Birth:

12.

Religious Denomination:

13.

Are you a veteran:

Yes

14.

Do you have children?

Yes

15.

Ethnic Background:

(1 required)

	African American			White/Caucasian
	Hispanic			Non-Resident Alien
	Other

16.

If Non-Resident Alien, Give Country:

17.

Name of Graduating High School / Year:

18.

High School Street Address / City / State / Zipcode:

19.

Rank in high school graduating class:

(1 required)

	Top 10%			Top 25%
	Other

20.

Cumulative Grade Point Average:

21.

List all Colleges or Universities attended (including Concordia College, if applicable):

22.

Are you academically eligible to re-enter the last college or university you attended?

Yes

23.

Are you socially eligible to re-enter the last college or university you attended?

Yes

Your classification at Concordia College:

24.

Attendance:

Full Time (12 or more credit hours)

Part-Time (Less than 12 credit hours)

25.

Type of Classes Expected to Enroll in Primarily:

(1 required)

	Day			Evening
	Saturday

26.

Classification:

(1 required)

	Freshman			Sophmore
	Junior			Senior
	Transfer			Transient
	Other

27.

Housing:

On-Campus

Off-Campus

28.

Intended Major / Minor:

29.

Do you plan to enter Lutheran church work?

Yes

30.

Indicate your enrollment intent at Concordia College:

(1 required)

	To Earn an Associate of Arts Degree (AA)			To Earn a Bachelor of Science Degree (BS)
	To Earn Credits to Transfer Elsewhere			To Earn Certificate Work
	I Only Want to Take a Couple of Courses for Self-Improvement			Unsure

31.

Has anyone in your family attended college?

Yes

32.

If yes, indicate which member(s):

(1 required)

	Mother			Father
	Sister			Brother
	N/A

33.

How did you learn about Concordia College-Selma?

(1 required)

	High School / College Fair			High School Counselor
	High School Presentation			Poster/Radio/TV/Newspaper
	College Presentation			Internet
	College Guide			Currently Enrolled Student
	Other

34.

Name of Recruiter or Person who Recruited You:

Parent/Guardian Information

35.

Name of Parent or Guardian(s):

36.

Street Address of Parent or Guardian(s):

37.

Parent/Guardian(s) City / State / Zipcode:

IF ADMITTED, I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF CONCORDIA COLLEGE-SELMA.

38.

Date of Application:

Type in the text that you see above:

By submitting this online application you are attesting to the truth of all submitted items. Upon submission, you will be contacted by a member of the Concordia College Enrollment Management Team.

IT IS THE APPLICANT'S RESPONSIBILITY TO HAVE THE FOLLOWING SENT TO THE OFFICE OF ADMISSIONS:

First-Year Undergraduate Students
* ACT or SAT Scores
* Official transcript from your high school
* $10.00 Application Fee
* Copy of High School Diploma or GED Certificate

College Transfer Student
* Official transcript from each college attended. High school transcripts and SAT or ACT may be required if the number of college credits is insufficient for evaluating performance.
* $10.00 Application Fee

International Students
* Transcripts of high school performance to verify high school completion
* Transcripts of any previous college credits
* Certification of financial support
* Test of English as a Foreign Language (TOEFL) score or other proof of English proficiency
* $25.00 Application Fee