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Application - New Freshman & Transfers


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Application Instructions

Application Status
Semester applying for:
If other or undeclared, please specify

Personal Information
First Name*
Middle Name
Last Name*
Nickname or Preferred Name
Permanent Mailing Address
City*
County*
State*
Zip*
Telephone )-
E-mail Address*
Citizenship
If other, please specify.
If other, are you a permanent
resident of the US?
Yes  No 
Birth date
(month/day/year)
/ /
Gender
Social Security Number
Are you married? Yes  No
Name of Spouse (if married)
Maiden Name (if applicable)

Church information
Church Name
Street Address
City
State
Zip
Denomination
Pastor's Name
Phone Number )-
Youth Pastor's Name
Are you a member of your church?
Yes
No

Family Information
Name of Parents/Guardian
Parent's Address (if different from above)
List names of relatives who have attended Geneva and the dates they attended.
My parent(s) is currently employed full-time as a: Christian School Employee
Missionary
Pastor
Other full-time Christian worker
Do you have younger brothers or sisters?
Name HS grad year
Name HS grad year
Name HS grad year

Educational Background
High School
Graduation Date (month/day/year) / /
Address
City
State
Zip
Phone Number )-
High School Code
Guidance counselor's name

Transfer Students
Present Class Status

College Attended Date Attended Credits Completed Credits in Progress

Are you eligible to return to this college? Yes  No
If no, have you been dismissed for: Academic Reasons
Disciplinary Reasons
Phi Theta Kappa Society member?  Yes  No

Ethnicity (optional)
We request this information for reporting purposes only.
American Indian
Caucasian
Hispanic/Latin American
Asian or Pacific Islander
African American (Non-Hispanic)
Biracial

Other important information
Activities
Please tell us about the things in which you have been involved or received recognition for during your years in high school or college. Please provide complete information. The thoroughness of your answers may have an impact on your financial aid award.
Musical activities HS
College
Choir/Chorus
Band
Marching
Orchestra/stage
What instrument and /or voice part?
Varsity sports HS College
Baseball
Basketball
Cheerleading
Cross Country
Football
Field Hockey
Gymnastics
Lacrosse
Soccer
Softball
Swimming
Tennis
Track
Volleyball
Wrestling
Other
Awards, letters, honors, etc

How did you first hear of Geneva College?

Volunteer/community service (please be specific)
Church/youth group activities (please be specific)
Have you applied, or are you planning to apply for admission at any other colleges?
Yes
No
If yes, where?

If yes, where does Geneva fit in your priorities?
1st 2nd 3rd unsure
Who influenced you to apply?
(Check all that apply and explain)
Current student Name
Alumni Name
Friend Name
Relative Name
Advertising Where
Teacher Name
Pastor/youth pastor Name
Other
How did you learn about our site?

Essay
This section must be completed by the student seeking admission to Geneva College
Short Answer Essay Questions:
In 3-5 sentences, please thoughtfully answer the questions below.
(Note: Your answers to these questions may be used in the scholarship selection process.)
1. Why are you interested in pursuing a Christian education at Geneva College?
2. What are your goals and how do you see Geneva College helping you achieve them?
3. What distinguishes you for consideration among your peers as a student at Geneva College?
References

Please provide contact information for one (1) academic reference (teacher, counselor, principal, etc.) and one (1)character reference (pastor, youth pastor, mentor, etc.).
Additional references may be included optionally.

Name
Title
Phone
Address

Name
Title
Phone
Address

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. 
Signature* Date*