Application for Admission
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1 Application for Admission messiah.edu Grantham, Pa. sharpening intellect deepening christian faith inspiring action
2 First-Year Student Standard Application Option Your application file is complete and ready for review when we have received the following: 2013 application checklist Application form (online version available at: messiah.edu/admissions/application/) High school transcript (Ask your high school guidance counselor to mail an official copy.) Standardized test results: SAT (Messiah College SAT code is 2411) or ACT (Messiah College ACT code is 3630) Christian life recommendation form Essay Application fee: Printed/paper application $30 (Fee is waived if received before Nov. 15, 2012.) Online/electronic application $20 (Fee is waived if received before Nov. 15, 2012.) First-Year Student Write Choice Application Option If you desire to apply without submitting standardized test scores (SAT or ACT), there is another option. For scholarship purposes, it is recommended that students apply using the Standard Application Option if you scored 1050 or higher (SAT) or 22 or higher (ACT). Application form (online version available at: messiah.edu/admissions/application/) High school transcript (Ask your high school guidance counselor to mail an official copy.) Write Choice applicants must be ranked in the top 20% of their high school class Christian life recommendation form Essay Graded writing sample (high school class composition, essay, research paper, etc.) Schedule required admission interview (All application materials above must be submitted prior to scheduling your Write Choice admission interview via the admissions visit coordinator or ) Application fee: Printed/paper application $30 (Fee is waived if received before Nov. 15, 2012.) Online/electronic application $20 (Fee is waived if received before Nov. 15, 2012.) Transfer Student If you have completed 12 or more college credits since graduating from high school, your application file is complete and ready for review when we have received the following: Application form (online version available at: College transcript(s) (Request transcript(s) from any and all institutions attended.) High school transcript (required if fewer than 30 credits have been completed) Standardized test results (required if fewer than 30 credits have been completed) Christian life recommendation form Essay Application Fee: Printed/paper application $30 (Fee is waived if received before Nov. 15, 2012.) Online/electronic application $20 (Fee is waived if received before Nov. 15, 2012.) International Student (non-u.s. citizen or a permanent resident, U.S. citizen living abroad, dual U.S. citizen) Please complete the International Student Application for Admission, available at: messiah.edu/admissions/international/. Admission Decisions Once all application documents are received, admission decisions are processed on a rolling or continuous basis (and communicated after Sept. 15). Contact Us Messiah College One College Avenue Suite 3005 Mechanicsburg PA (toll free), fax: admiss@messiah.edu messiah.edu Messiah College does not discriminate against students or applicants for admission on the basis of race, color, national or ethnic origin, sex, disability, or age in the administration of its educational policies, admissions policies, scholarship and loan programs, athletic and other school-administered programs or in any other aspect of its operations. Messiah College s Campus Security Report and Safety and Security Information are posted on the Department of Safety website at messiah.edu/offices/safety/report.html. Information includes statistics regarding the incidence of campus crime over the past three years, as well as details about our safety and security practices. Related material can be found on the U.S. Department of Education website at ope.ed.gov/security/. If you would like additional information, clarification or a paper copy, please contact the Department of Safety at , extension This serves as notification to current and prospective students that, pursuant to Section 486 of the Higher Education Act, Messiah College s six-year graduation rate and other retention/graduation data are available online. A hard copy will be provided upon request by contacting the Institutional Research Office. To view statistics online, please go to the Messiah College home page Campus Offices Institutional Research. Once at the website, click on Messiah Stats Six-Year Graduation Rate (HEA Section 48) or key in messiah.edu/offices/research/data/.
3 personal information I am applying as a: First-Year Student Transfer Student (completed 12 or more college credits after high school graduation) Application option: Standard Choice Write Choice (first-year students only) Enrollment term: Fall 20 Spring 20 Do you plan to be a full-time student? Yes No Housing plans: On-campus residence Commuting (Commuting students under the age of 22 must live with parents, relatives or in a residence approved by the College.) 1. Name FIRST MIDDLE FAMILY / LAST FORMER NAME USED 2. Preferred first name 3. Gender Male Female 4. Mailing address STREET/ P.O. BOX / RURAL ROUTE CITY STATE ZIP 5. Home phone ( ) Primary Cell phone ( ) Primary May we text this cell phone number? yes no Cell phone provider 6. address 7. Country of birth (IF MORE THAN ONE, LIST PREFERRED) 8. Social Security number 9. Date of birth / / (Note: required for purposes of federal student aid programs) MONTH DAY YEAR 10. What is your citizenship status? U.S. citizen only Dual citizen (U.S. + one other citizenship: ) If neither apply, please use the International Student Application for Admission available at messiah.edu. 11. Ethnicity ( If you are a U.S. citizen, providing the information below is voluntary and will not be used in a discriminatory manner. These questions comply with the U.S. Department of Education s new standards for ethnic and racial data collection): Is your ethnicity Hispanic / Latino (Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin)? Yes, Hispanic / Latino No, not Hispanic / Latino Please identify your race (select one or more races): American Indian or Alaskan Native (a person having origins in any of the original peoples of North or South America, including Central America, and who maintains a tribal affiliation or community attachment) Asian (a person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Malaysia, Pakistan, the Phillipine Islands, Thailand, Vietnam) Black or African-American (a person having origins in any of the Black racial groups of Africa) Native Hawaiian / Pacific Islander (a person having origins in any of the original peoples of Hawaii, Guam, Samoa or other Pacific Islands) White (a person having origins in any of the original peoples of Europe, the Middle East or North Africa) Native language spoken Fluent in the following languages 12. Have you or your parents(s) ever served in the US Military? Yes No If yes, what is your current military status? Military Dependent Active Military Reserve Military Inactive Military Veteran National Guard 13. Home or current church (if attending) CITY STATE Church affiliation/denomination 14. Have you been convicted of a felony or misdemeanor? No Yes (If yes, submit a letter of explanation. Such conviction will not necessarily disqualify you from admission.) 15. Do you plan to file the Free Application for Federal Student Aid (U.S. citizens, dual citizens and permanent residents only)? Yes No
4 16. Parents or legal guardians: family information ( ) FATHER OR GUARDIAN STREET/P.O. BOX/RURAL ROUTE OR SAME AS APPLICANT PRIMARY PHONE HOME CELL ( ) CITY STATE ZIP SECONDARY PHONE HOME CELL OCCUPATION / EMPLOYER COLLEGE(S) ATTENDED ( ) MOTHER OR GUARDIAN STREET/ P.O. BOX / RURAL ROUTE OR SAME AS APPLICANT PRIMARY PHONE HOME CELL ( ) CITY STATE ZIP SECONDARY PHONE HOME CELL OCCUPATION / EMPLOYER COLLEGE(S) ATTENDED 17. Have any of your immediate family members attended Messiah College? NAME RELATIONSHIP GRAD YEAR NAME RELATIONSHIP GRAD YEAR NAME RELATIONSHIP GRAD YEAR NAME RELATIONSHIP GRAD YEAR educational information 18. What are you interested in studying? (Select from academic majors listed below.) First preference Undeclared / undecided Majors Accounting (B.S.) Adventure Education (B.A.) Art Education (K 12) (B.S.) Art History (B.A.)* Art (Business) (B.A.) Athletic Training (B.A.) Biblical and Religious Studies (B.A.) Biochemistry (B.A.) Biochemistry (B.S.) Biology (B.S.) Biology (Secondary) and Environmental Education (K-12) Dual Teaching Certification (B.S.) Biology with Secondary Teaching Certification (B.S.) Biopsychology (B.S.) Broadcasting (B.A.) Business Administration (B.S.) Chemistry (B.A.) Chemistry (B.S.) Chemistry with Secondary Teaching Chinese Business (B.A.) Chinese Studies (B.A.) Christian Ministries (B.A.) Communication (B.A.) Computer and Information Science (B.S.) Criminal Justice (B.A.) Dance (B.A.) Digital Media (B.A.) Economics (B.A.) Economics (B.S.) in Grades PreK-4 (B.S.) Education with Dual Teaching Certification in Grades PreK-4 and Special Education PreK-8 (B.S.) in Grades 4 8 (B.S.) Engineering (B.S.E.) English (B.A.) English with Secondary Teaching Environmental Science (B.S.) Ethnic and Area Studies (B.A.) Family and Consumer Sciences Education (K 12) (B.S.) Film and Media Arts (B.A.) French (B.A.) French with K 12 Teaching German (B.A.) German with K 12 Teaching Health and Exercise Science (B.A.) Health and Physical Education (K 12) (B.A.) History (B.A.) History with Secondary Social Studies Teaching Human Development and Family Science (B.A.) Humanities (B.A.) International Business (B.S.) Journalism (B.A.)* Marketing (B.S.) Mathematics (B.A.) Mathematics with Secondary Teaching Molecular Biology (B.S.) Music (B.A.) Music (Business) (B.A.) Music Education with Teaching Certification (K 12) (B.S.) Music Performance (B.M.) Musical Theatre (B.F.A.) Nursing (B.S.N.) Nutrition and Dietetics (B.S.) Nutrition and Food Services Management (B.A.) Nutrition Science (B.A.) Peace and Conflict Studies (B.A.) Philosophy (B.A.) Physics (B.A.) Physics (B.S.)* Physics with Secondary Teaching Politics (B.A.) Psychology (B.A.) Psychology (B.S.) Public Relations (B.A.) Social Work (B.S.W.) Sociology and Anthropology (B.A.) Spanish (B.A.) Spanish with K 12 Teaching Spanish Business (B.A.) Sport Management (B.A.) Studio Art (B.A. and B.F.A.) Sustainability Studies (B.A.) Theatre (B.A.) Theatre (Business) (B.A.) Teacher Certification Programs Art Education (K 12) Biology (7 12) Biology(7 12) and Environmental Education (K 12) (requires dual certification with biology) Chemistry (7 12) in Grades PreK-4 (B.S.) Education with Dual Teaching Certification in Grades PreK-4 and Special Education PreK-8 (B.S.) in Grades 4 8 (B.S.) English (7 12) Family and Consumer Sciences Education (K 12) French (K 12) German (K 12) Health and Physical Education (K 12) Mathematics (7 12) Music (K 12) Physics (7 12) Social Studies (7 12) Spanish (K 12) 3+ Programs Biochemistry (B.A.)/Doctor of Pharmacy (PharmD) University of the Sciences in Philadelphia Biopsychology (B.S.)/MSOT in Occupational Therapy Thomas Jefferson Universi ty Health and Exercise Science (B.A.)/ MSOT in Occupational Therapy Thomas Jefferson University Politics (B.A./M.S. in Public Policy and Management) Carnegie Mellon University Pre-Professional Programs Messiah College supports the following Pre-Health and Professional Programs through specialized advising: Pre-Allied Health various related fields Pre-Dental Pre-Medical various related fields Pre-Physical Therapy Pre-Veterinary * Requires at least one semester at the Messiah College Philadelphia Campus.
5 High School 19. Year of high school graduation 20. High school attended (most recently): Public Private Home If home-educated, are you earning a state-recognized high school diploma? Yes No NAME OF SCHOOL STREET / P.O. BOX / RURAL ROUTE ( ) CITY STATE ZIP PHONE College 21. Have you taken college courses and/or enrolled in a college or university? Yes No If yes, check all that apply: While enrolled in high school After graduating from high school 22. If you have attended other colleges or universities, please list each institution and indicate credits completed and/or in process: Institution: Credits completed: Dates attended: -to- Credits in progress: Institution: Credits completed: Dates attended: -to- Credits in progress: Institution: Credits completed: Dates attended: -to- Credits in progress: honors / awards / recognitions 23. Please list any honors, awards and/or recognitions you have received during your high school years. Indicate the grade/year in which the honor or award was received. NOTE: This information may be used in the scholarship selection process. Optional for TRANSFER students. 24. As a National Merit Program scholarship sponsor, we are interested in knowing if you have been recognized in this program as a: High Scorer Commended Student Semifinalist Finalist
6 activities 25. Describe any cocurricular (school-related) and/or extracurricular (church, community, etc.) activities in which you were involved during high school, making sure to include any leadership roles assumed. Please indicate: A) the activity and any leadership/titled position held B) the number of years involved and number of years in titled positions NOTE: This information may be used in the scholarship selection process and will be considered only if reported on this form or using this format on a separate sheet(s). Optional for TRANSFER students. A) Activity/Position(s) held (if any) B) Number of Years in Activity/Position(s) e.g., Marching Band Drum Major 4/ essay 26. Thoughtfully consider the following question and respond on a separate sheet of paper (not to exceed one typewritten page). Messiah College is a Christian college of the liberal and applied arts and sciences whose mission is to educate men and women toward maturity of intellect, character and Christian faith in preparation for lives of service, leadership and reconciliation in church and society. How have you prepared for and how do you expect to work toward fulfilling this mission as a student at Messiah College? Christian life statement and signature 27. Messiah College is a community of believer-scholars who share a common mission to educate men and women toward maturity of intellect, character and Christian faith in preparation for lives of service, leadership and reconciliation in church and society. Specific standards of conduct have been developed to help assure that the College fulfills its mission through nurturing personal growth and maintaining a College-wide atmosphere conducive to learning and academic excellence. As responsible citizens of our community, students voluntarily agree to abide by the College guidelines and standards as outlined in the Community Covenant and Code of Conduct as found in the Student Handbook, in exchange for the benefits of being part of the Messiah College community. I certify that I have read and am familiar with the above standards and expectations for student conduct at Messiah College. If admitted as a student, I agree to abide by the Messiah College Code of Conduct. I also certify that the information I have provided on this application is complete and accurate. Messiah College reserves the right to revoke admission or readmission in the event of an applicant s misrepresentation in any phase of the application process. Signature Date
Application for Admission
Application for Admission messiah.edu admiss@messiah.edu 800.233.4220 Grantham, Pa. sharpening intellect deepening christian faith inspiring action First-Year Student Standard Application Option Your application
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