Application for Admission



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Application for Admission 2010-2011 At Randolph College, we engage the intellects, passions, and dreams of young men and women so that they may live meaningfully in a world that grows more complex every day. We strive to empower students to connect with the world, to take charge of their education throughout their lives, and to lead lives of integrity and honor. Randolph College. World wise.

Instructions Application Procedure There are three ways to apply to the College: 1. Randolph College application form 2. Via our Web site: www.randolphcollege.edu 3. Common Application Form (available through guidance counselor offices or online at www.commonapp.org) Application Requirements 1. Completed Application for Admission. 2. The Recommendation form must be distributed to the appropriate official. Indicate at the top of the form the date by which you would like it returned to the Admissions Office. 3. Standardized test scores are considered along with many other factors in evaluating your application for admission. One of the following tests is required: Scholastic Assessment Test (SAT), American College Test (ACT), or Test of English as a Foreign Language (TOEFL or IELTS, for international students only). Standardized test scores are not required for transfer or adult students. School codes are: SAT 5567 ACT 4388 TOEFL 5567 4. Official secondary school or college transcripts of the school record sent directly to the Admissions Office by the institution. 5. Essay or graded writing sample. 6. A non-refundable application fee of $35.00 for online applications and $50.00 for paper applications (U.S. funds) must accompany the application. This should be in the form of a check or money order made payable to Randolph College. If you are requesting a fee waiver, you should enclose a letter from your guidance counselor explaining the need for a waiver. The application cannot be processed without the fee or verification of the need for a fee waiver. Application Deadlines December 1 Early Action I Priority Application Deadline Presidential Scholars Program Early Action I Priority Application serves as application for this scholarship program for those who qualify Spring Transfer Student Application Deadline February 1 Early Action II Application Deadline FAFSA Application Priority Deadline for need-based and other merit-based awards April 1 Regular Decision Application Deadline May 1 Enrollment Deposits Due July 1 Fall Transfer Student Application Deadline Information on special student admission plans can be found in the catalog or at www.randolphcollege.edu/catalog. The Randolph College Honor System Randolph College is a college rich in tradition. Although it has expanded to meet the demands of a changing world, many of its traditions have been maintained. By far the most significant tradition at Randolph is its strong, effective Honor System it is a tradition that is a way of life for all members of the Randolph community. Every student enrolled at Randolph College is bound by the following Honor Pledge: I pledge absolute honesty in my academic work and in all personal relationships at Randolph College. I will maintain the integrity of my word and I will respect the rights of others. Realizing that these standards are an integral part of life at Randolph College, I assume my obligation to uphold this honor pledge. If at any time I fail to live up to my obligation of this pledge I will report myself to the Chair of the Judiciary Committee. I will also ask others to report themselves for any infraction of this pledge. Disability Services For information regarding services/accommodations for students with disabilities, contact the Learning Resources Center at 434-947-8132. Safety and Security The security of all members of the campus community is of vital concern to Randolph College. The following information may be requested from the Randolph Safety and Security Department: crime prevention advice; enforcement authority of the Randolph Safety and Security Department; policies concerning the reporting of any crimes that may occur on campus, in certain off-campus buildings owned or managed by Randolph, or on public property immediately adjacent to and accessible from the College; and crime statistics for the most recent three-year period. This information may also be accessed through the Internet at www.randolphcollege.edu/security. A paper copy of the security report is available upon request by contacting the Randolph College Safety and Security Department, 2500 Rivermont Avenue, Lynchburg, Virginia 24503-1555, 434-947-8000. Randolph College does not discriminate on the basis of race, color, sex, religion (Title VII), ethnic origin (Title VI), handicap (Section 504), sexual orientation, or age in the administration of its educational and employment policies, and maintains such nondiscriminatory policy in all aspects of operation. Inquiries concerning the application of these policies may be directed to the Title IX coordinator, the Dean of the College (434-947-8126); or the Section 504 coordinator, the Vice President for Finance and Administration (434-947-8112), in Lynchburg, Virginia 24503-1555. Rev.1109

APPLICATION FOR ADMISSION APPLICATION FOR ENTRANCE: Fall/September Spring/January Year Year Admissions Office Randolph College 2500 Rivermont Avenue Lynchburg, VA 24503-1555 Tel: 434-947-8100 or 800-745-7692 Fax: 434-947-8996 admissions@randolphcollege.edu www.randolphcollege.edu Admission Plan (check one): Early Action I (Deadline: December 1) Early Action II (Deadline: February 1) Regular Decision (Deadline: April 1) Early Admission for high school juniors entering college early (Deadline: March 1) First-year student Transfer student Adult student (24 years and older) International Student: (Check one) 4-year degree candidate 1-year non-degree candidate Transfer student Personal Information Please type or print clearly in ink. Name Preferred name/nickname Home address Home phone number ( ) City State ZIP Code E-mail address Cell phone number ( ) IM screen name IM client Mailing address (if different) S.S.# City State ZIP Code Date of birth Place of birth Female Male If you reside in the Lynchburg area, will you request to be a commuting student? Yes No Are you a Virginia resident? Yes No Are you a U.S. citizen? Yes No (If no, please answer the questions on the next line.) Of what country are you a citizen? U.S. permanent resident or green card holder? Yes No If yes, please indicate alien registration number Visa type if not a U.S. permanent resident/immigrant visa holder Date of first entry into the U.S. Number of years in U.S. Optional: Responses to questions about your race, your first language (if other than English), the language spoken in your home, and your religion help us monitor our success in attracting a diverse group of applicants to Randolph College. Your answer to any of these questions, or your decision not to respond, does not affect your chances for admission. Are you Hispanic/Latino? Yes, Hispanic or Latino (including Spain) No Please describe your background Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describes you: American Indian or Alaska native (including all Original Peoples of the Americas Are you Enrolled? Yes No If yes, please enter Tribal Enrollment Number Please describe your background Asian (including Indian subcontinent and Philippines) Please describe your background Black or African American (including Africa and Caribbean) Please describe your background Native Hawaiian or Other Pacific Islander (Original Peoples) Please describe your background White (including Middle Eastern) Please describe your background What is your first language if other than English? What language do you speak at home? Religion Date tests taken: SAT I ACT TOEFL Do you intend to apply for need-based financial aid? Yes No Do you intend to apply for a merit-based scholarship? Yes No Current academic interests/career goals 1. 2. Undecided

School Information School from which you are graduating/graduated College Board code number School address Name of guidance counselor Office telephone ( ) Please indicate whether your current school is: Public Private_ Home/correspondence Senior year courses: Please list all academic courses you are taking in your senior year. Indicate which classes are advanced or honors. Beginning with grade nine (first year of secondary school), please list any other schools you have attended. If you are enrolled in or have completed any college courses for credit, please include the name(s) of the institution(s) you have attended below. Name of school From month/year to month/year City State Name of school From month/year to month/year City State Name of school From month/year to month/year City State Summer and Work Experience Please list summer study, travel, volunteer work, or other summer experiences you have had and any job(s) you have held during the past three years. Experience Experience Experience Experience Extracurricular Activities Please list your principal extracurricular, community, and family activities (including hobbies) in the order of their interest to you. Include specific events and/or major accomplishments, such as musical instruments played, varsity letters earned, etc. Check in the far right column those activities you hope to pursue in college. To allow us to focus on the highlights of your activities, please complete this section even if you plan to attach a résumé. Grade level or post-secondary (PS) Activity 9 10 11 12 PS Approximate Time Spent Hours Weeks per per week year Positions held, honors won, or letters earned Do you plan to participate in college? List achievements and scholastic honors you have received, and positions you have held in the activities indicated above. Attach additional sheets if necessary. What are the two most important activities you have been involved with, and what role have you played in those activities? Attach additional pages if necessary.

Family Information Randolph College 2500 Rivermont Avenue, Lynchburg, VA 24503-1555 Mother s name Mailing address City State ZIP Code Daytime telephone ( ) Evening telephone ( ) E-mail address Place of employment Position Highest degree earned High school diploma Some college Bachelor s Graduate/Professional Year received College(s) Living Deceased Father s name City State ZIP Code Mailing address Daytime telephone( ) Evening telephone ( ) E-mail address Place of employment Position Highest degree earned High school diploma Some college Bachelor s Graduate/Professional Year received College(s) Living Deceased Please check one: Parents are Together Separated Divorced Other With whom do you make your permanent home? Relationship If you have a guardian other than your parents, please give the full name, address, and phone numbers. Guardian s name Mailing address Home telephone ( ) E-mail address Place of employment Position Work telephone ( ) Highest degree earned High school diploma Some college Bachelor s Graduate/Professional Year received College(s) Please give names and ages of your brothers and sisters. If they have attended college, give the names of the institutions attended. If any of your relatives have attended Randolph College or Randolph-Macon Woman s College or been associated in some capacity, please indicate: Name Relationship to you Class at Randolph or R-MWC (or other association) Name Relationship to you Class at Randolph or R-MWC (or other association)

Are you interested in a study abroad experience during your undergraduate education? Yes No Have you ever taken a class or enrolled in a special program at Randolph College? Yes No Most important factor guiding your selection of a college. How did you first learn about Randoph? To what other colleges/universities do you intend to apply? (Rank order.) Essay or Writing Sample Communicating effectively in writing, organizing thoughts, and expressing ideas clearly are very important to a liberal arts education. Randolph College is committed to writing across the curriculum and offers support services to help students become better writers. Please send us a sample of your writing, which can tell us a lot about you. Send either a photocopy of a graded essay you wrote in the 11th or 12th grade, or an essay written on the topic of your choice (at least 400 words). Please indicate your choice by checking the appropriate box: Photocopy of graded writing sample you wrote in the 11th or 12th grade. The teacher s comments and grade should be clearly legible. Essay on the topic of your choice (at least 400 words). Please remember to proofread your work. We look forward to reading your submission. Recommendation Recommendation form is attached. Additional forms are available online. Name of recommender is Relationship to student Student Signature My signature affirms that the information contained in my application is factually correct, and that the essays are my own work. As an applicant I uphold the importance of the Randolph College Honor System (see inside front cover) and I understand that every student enrolled at Randolph College is bound by the Honor Pledge. Signature of applicant Date Rev.1109

Application For Admission Academic teacher, guidance Counselor, or transfer advisor Recommendation Due Date: To The Student After you have completed the information below, give this form to your guidance counselor, teacher, or professor. Name of student Student s address Student s school School telephone ( ) College Board code number Name of recommender E-mail address I waive my right to review the information provided on this form. Signature of applicant Date I give permission to my recommender to disclose confidential information. Admissions Office Randolph College 2500 Rivermont Avenue Lynchburg, VA 24503-1555 Tel: 434-947-8100 or 800-745-7692 Fax: 434-947-8996 admissions@randolphcollege.edu www.randolphcollege.edu Signature of applicant Date (Parent/guardian signature is required if student is under 18 years of age.) Academic Achievement This candidate s rank is in a class of GPA This rank covers the period from to If precise rank is not available, please indicate approximate rank to the nearest tenth from the top: Of this candidate s graduating class, approximately % plan to attend a four-year college. Please evaluate this candidate on the following criteria: Below Average Leadership potential Average Good Excellent (top 10% but not 2 or 3%) Truly Outstanding (top 2 or 3%) No basis for judgement Personal integrity Respect for others Emotional maturity Personal initiative Reaction to setbacks Creative, original thought Potential for growth I recommend this candidate for admission to Randolph College: For academic promise For character and personal promise For overall promise School policy precludes recommendation Not Recommended Without Enthusiasm Fairly Strong Strongly Enthusiastically

In order to evaluate this candidate s potential for a good experience at Randolph College, we need information to complement what we already know from the transcript. We are particularly interested in learning about this candidate s motivation, integrity, consistency, class participation, and willingness to go beyond what is expected. Is he/she curious about learning? Does he/she work well independently? How does the student relate to peers and teachers? Please provide information regarding special talents or significant contributions that would be helpful for us to know as we evaluate the application. Please note any specific events and/or unusual circumstances which will give the Admissions Committee added insight into the strengths and weaknesses of the candidate. Randolph College emphasizes writing across the curriculum through all four years; therefore, your insights about this candidate s preparation in writing are particularly valuable to us. In assessing the candidate s writing and critical thinking skills, please address the following questions: If applicable, what is your overall assessment of the student s writing ability? How does the student s work compare with that of other college-bound students you are currently teaching? What are the student s particular strengths and weaknesses as a writer? Signature Title Length of time acquainted with candidate Please print name Date E-mail address Please submit this recommendation with the student s transcript. Rev.1109