Admissions Application Request - Main Form

Personal Information
Academic Information
Relationship Information
Parent Information
Additional Information
Additional Information

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First Name
Middle Name
Last Name
Preferred Name
Email Address
Social Security Number
Date of Birth
Gender
Are you Hispanic or Latino?
Please select one or more of the following:

White

Black or African American

Asian

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander
Citizenship Status (If U.S)
Citizenship Country
Religion
Marital Status
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Contact Information
Country of Residence
Street Address
Street Address (Line 2)
City
State
Zip Code Zip Code Extension
Province
Postal Code
Mobile Phone Mobile Phone Area Code Mobile Phone Exchange Mobile Phone Number Mobile Phone Extension Ext:
Enrollment Information
Copy Home Address Into Mail Address
Mail Country
Mail Street Address
Mail Street Address (Line 2)
Mail City
Mail State
Mail Zip Code Mail Zip Code Extension
Mail Province
Mail Postal Code
Address Information

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Background and Signature
Please enter all colleges you have attended, including any dual/concurrent enrollment taken during high school, starting with the most recent and click “Select.” If you cannot find the college, enter the name of the college at the bottom of the form where indicated.
Relationship
Title
First Name
Last Name
Email
Personal Information
Parental/Spouse/Emergency Contact Information
Please enter your parent/guardian or emergency contact information below.
Copy Home Address into Parent/Spouse Address
Country
Street Adress
Street Address (Line 2)
City
State
Zip Code Zip Code Extension
Mobile Phone Mobile Phone Area Code Mobile Phone Exchange Parent 1 US Phone Number Mobile Phone Extension Ext:
Province
Postal Code
International Cell International Cell Extension Ext:
Please find the last high school you attended and click "Select". If you cannot find the high school, fill in the name of the high school at the bottom of the form where indicated.
Additional Information
Parental/Spouse/Emergency Contact - Address Information
High School Information
College/University Information

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Highest Level of Education
Graduation Year
Required Federal Reporting (IPEDS)

In compliance with federal guidelines set by the Integrated Postsecondary Education Data System (IPEDS), we collect demographic information from applicants. The IPEDS system requires data on gender, race, and ethnicity to ensure our institution's commitment to diversity, equity, and inclusion, and to fulfill our federal reporting obligations. The following information is used solely for statistical purposes and will not affect your application in any way.
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Major/Program
Anticipated Starting Semester
Entry Type
Check this box if you are you the first in your immediate family to attend college.

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Today's Date (mm/dd/yyyy)
Signature (Please type your full name)
What is your housing preference?
Please select any activity in which you participated in high school that you may wish to continue at Andrew College.

Art/Drama/Theater

Band

Choral/Music/Piano

Electronic Media

Leadership Activities

Religious Organizations/Spiritual Life

Service Organizations

Student Government

Yearbook
Do you live with this person?
Do you plan on participating in Varsity Athletics? If so, please select.
Please describe your activities/interests (school, church, civic, work experience)
Have you ever been convicted of a felony or suspended from another college?
If you selected yes to the above question, please explain:
Please indicate below if you interested in information regarding disability services.
HS Counselor's First and Last Name
High School Counselor's E-mail Address
By clicking the submit button below, I am agreeing that the statements made in this application are complete, true, and accurate to the best of my knowledge. I also agree to abide by all Andrew College rules and regulations. If it is found that information has been falsified and/or omitted from this application, I understand that the college may choose to revoke any offer of admission.

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