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*Geneva College does not discriminate on the basis of race,
color, sex, disability and national or ethnic origin.

Please select a preferred major:

Management
Organizational Leadership
Human Resources
Children and Family Services
Human Services
Christian Ministry Leadership

Choose your intended start date and location:

Pittsburgh, PA | Reformed Presbyterian Theological Seminary ( Aug. 24, 2015 )
Pittsburgh, PA | Reformed Presbyterian Theological Seminary ( Oct. 20, 2015 )
Undecided(choose later)

Choose your intended start date and location:

Online ( Aug. 24, 2015 )
Online ( Oct. 19, 2015 )
Undecided(choose later)

Choose your intended start date and location:

Undecided (choose later)

Choose your intended start date and location:

Online ( Aug. 24, 2015 )
Cranberry Twp, PA | Regional Learning Alliance ( Aug. 26, 2015 )
Online ( Oct. 19, 2015 )
Cranberry Twp, PA | Regional Learning Alliance ( Oct. 21, 2015 )
Undecided (choose later)

Choose your intended start date and location:

Beaver Falls, PA | Geneva College Campus ( Aug. 24, 2015 )
Beaver Falls, PA | Geneva College Campus ( Oct. 19, 2015 )
Monroeville, PA | Community College of Allegheny County – Boyce Campus ( Aug. 25, 2015 )
Monroeville, PA | Community College of Allegheny County – Boyce Campus ( Oct. 22, 2015 )
Online ( Aug. 24, 2015 )
Online ( Oct. 19, 2015 )
Undecided (choose later)

Choose your intended start date and location:

Beaver Falls, PA | Geneva College ( Aug. 24, 2015 )Pittsburgh ( Aug. 26, 2015 )
Undecided (choose later)

Choose your intended start date and location:

Online ( Aug. 24, 2015 )
Online ( Oct. 19, 2015 )
Undecided (choose later)

Personal Information

Male Female
Yes No

Employment:

Yes No
Yes No
Yes No
Yes No
Yes No
Yes No

If yes, please list the date of the conviction(s), name/location of court in which convicted and a description of the nature of the crime.

Educational Information:

Yes No

List all colleges, universities or other post-high school institutions of learning you have attended (include Geneva if you are a former student)

First School

Second School

Third School

Fourth School

Name of college

Dates Attended

Estimated Sum of credits

Geneva College will request transcripts, at no cost to you, from all institutions* you have previously attended.
An enrollment counselor will connect with you to complete the Transcript Request form for each school you attended.

*Colleges and universities in the U.S.


Yes No
Branch:
Dates:

(please send a copy of your DD214 )


Ethnicity (optional)

Yes No
American Indian or Alaska native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White

*Geneva College does not discriminate on the basis of race, color, sex, disability and national or ethnic origin.


Please sign this form by typing your name and typing the date in the spaces provided below.
Your signature validates this application and indicates that you have completed the information and that the information is true.


Questions? Email adultdegree@geneva.edu or call us at 800-576-3111