Please fill out the entire form carefully and furnish complete information; failure to do so may result in a processing delay. Please do not use quotation marks in any of your responses.
Applicant Information
Name

Last Name

First Name

Middle Name

Preferred Name

Title

Suffix
__________________________________________________________
Session Year
What is your anticipated major?
__________________________________________________________
__________________________________________________________
Contact Information

Permanent Street Address

Apartment

Town/City

State/Province/Country

Zip/Postal Code

Permanent Phone Number

Cell Phone Number

Email Address
__________________________________________________________
__________________________________________________________
Additional Information

Social Security Number

Place of Birth

Date of Birth
Are you a U.S. citizen?         Yes   No

If not, explain your type of visa and citizenship.
__________________________________________________________
Are you a U.S. veteran?         Yes   No
Do you receive veterans' benefits?                                       Veteran   Dependent of Veteran
__________________________________________________________

List any health factors or special needs that should be called to our attention.
__________________________________________________________
Do you have a criminal record? Yes   No

If so, please explain.
__________________________________________________________

Religious Affiliation (optional)

Name of Congregation
__________________________________________________________
Ethnicity:

Caucasian   African American   Hispanic  
Native American Asian   Other:

 
Family Information
Father/Male Guardian

Full Name

Title

Occupation

Employer
Yes   No
Living?

College(s) Attended
Yes   No
4-year degree?
__________________________________________________________
Mother/Female Guardian

Full Name

Title

Occupation

Employer
Yes   No
Living?

College(s) Attended
Yes   No
4-year degree?
__________________________________________________________
__________________________________________________________
Additional Information

If you do not live with both parents, with whom do you live?

Relationship?

Full Address


If you are married, what is your spouse's name? (optional)

__________________________________________________________
Educational Data
Note: It is your responsibility to have all official high school transcripts, college transcripts, SAT or ACT scores, and freshman or transfer recommendation links (as appropriate) forwarded to the Admissions Office at Mars Hill University.
Schools/Colleges Attended

School Name                        

City/State/Zip Code                  

Dates of Attendance & Graduation

School Name                        

City/State/Zip Code                  

Dates of Attendance & Graduation

School Name                        

City/State/Zip Code                  

Dates of Attendance & Graduation

School Name                        

City/State/Zip Code                  

Dates of Attendance & Graduation

Name of High School Guidance Counselor

Phone
__________________________________________________________
Extracurricular activities, including employment, offices held, & honors received:
__________________________________________________________
__________________________________________________________
Standardized Tests
Yes   No
Have you taken the SAT?

If so, when?

Other dates scheduled.
  Verbal Score:

Math Score:

__________________________________________________________
Yes   No
Have you taken the ACT?

If so, when?

Other dates scheduled.
 

ACT Composite Score:

__________________________________________________________
Mars Hill Information
List in order three extracurricular activities you would like to participate in while at Mars Hill University:
   
Will you be applying for financial aid? Yes   No  
__________________________________________________________
Who or what most influenced you to apply to Mars Hill?
__________________________________________________________
To which other colleges are you applying?
Fee Code (if applicable):