Adult & Graduate StudiesAdult & Graduate Studies
A $25 application fee is required with this application.  Please fill out carefully and furnish complete information. Failure to complete may result in a processing delay!  Former MHU students check box below. 

Former MHU Student (application fee not required)

Contact Information
Last Name
First Name
Middle Name
Maiden Name
Preferred Name
Title
Permanent Mailing Address
City
State
County
Zip Code
Employer
 
Home Phone
Work Phone
Email Address
Additional Information
Social Security Number

(I am voluntarily providing my social security # on this form with the understanding it will be used only for this institution’s record keeping and data processing operations and for official enrollment reporting.)
Date of Birth
/ /
mm/dd/yyyy
Are you a U.S. citizen?
Yes   No
Nation of Citizenship

Green Card Degree Seeking Student Exchange/Scholar

Will you be a legal resident of North Carolina for a period of at least 12 months immediately prior to the date of registration at Mars Hill?
Yes   No If no, date of NC residency 
Are you a U.S. veteran?
Yes   No
Branch of Service
Optional Information

The following optional information is requested for statistical purposes only.

Ethnic Origin:
African American Native American Asian/Pacific Islander Caucasian Hispanic/Latino
Hispanic/Not Latino Other:

Gender:

Marital Status
Religious Affiliation - Denomination

Name of Congregation

Have you ever been convicted of a felony? If, "Yes", please explain::
List any health factors or special needs that should be called to our attention:
Contact Now Emergency Information
The following information is needed for the campus emergency notification system, "Contact Now." It will be used exclusively for emergency and other priority notifications by the university. If you do not provide this contact information, the university will be unable to notify you in case of an emergency or crisis on campus.
Cell Phone (or best number for reaching you in an emergency):
Check here if you do not have a cell phone for use in notification of an emergency.
Emergency Contact Name (spouse, parent, or other family member):
Contact's Relationship to You:
Emergency Contact's Cell Phone Number (or best number for reaching contact in an emergency):
Registration Information
Applying for Year
Fall:
August
(1st term)

October
(2nd term)

Spring:
January
(1st term)

March
(2nd term)

Summer:
June
July
Applying as:
Preferred Class Location:

Educational Data
Note: It is your responsibility to have all official high school and college transcripts and other required forms forwarded to the Adult & Graduate Studies Office at Mars Hill University.
High School Attended
Location
Graduation Year
If you have previously attended Mars Hill University, please list years and name used while enrolled.
College(s) Attended
From     -    To (Year)
-
   
- College Degree(s) Held
-
 
Mars Hill Information
What is your anticipated major?
Business Management  Special Education     Social Work  Undecided
Education Education Licensure (Post-Graduates Only)
Elementary (K-6)
Middle Grades (6-9)
        (2 concentrations required)
Secondary (9-12)
Integrated Education

Elementary (K-6)
Middle Grades (6-9)
Secondary (9-12)
Special Education
ESL
Teacher Renewal
Reading Specialist
Lateral Entry
Education Concentration or Degree Area
 
* This section applies ONLY to post-graduates seeking licensure.
Do you hold a current North Carolina Teacher Licensure?
Yes, If "Yes", tell us your Licensure area:
How did you learn about the Adult & Graduate Studies program?
Billboard  Education Fair  Mailing  Newspaper  Television  Radio
Friend
Employer
Other

Checklist

To be processed, your application must include:
1. Online Application
2. Payment of $25 application fee by check, MasterCard, Visa (Call 800-582-3047 to pay fee by credit card)
3. Official High School Transcript(s) and GED Scores (if applicable)
4. Official College Transcript(s) (if applicable)



Fee & Transcripts should be mailed to:
Adult & Graduate Studies
Mars Hill University
Box 6682
Mars Hill, NC  28754
Telephone:  800-582-3047

 

Mars Hill University does not discriminate on the basis of race, sex, religion, creed or handicap in
the operation of any aspect of the college.

Mars Hill University is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools
National Council for Accreditation of Teacher Education
Council on Social Work Education