Online Application | Alderson-Broaddus College

Last Name: *

First Name: *

Middle Name: *

Preferred or Nickname:

Other Names by which my records may be listed:

Home Address/Mailing Address: *

City: *

State: *

Zip Code: *

Home Telephone: *

Cell Phone:

May We Text You?:

Yes

Email Address: *

Date of Birth: *

Marital Status:

Single

Married

Gender: *

Male

Female

Ethnic Origin:

Religion:

Parent(s)/Guardian(s):

Parent(s)/Guardian(s) Email:

I'm applying as a:

Freshman

Transfer

Non-Degree Seeking

Readmit/Former Student

High School Name: *

High School City: *

High School State: *

High School Graduation Date (MM/YYYY): *

I have (or will) take the:

ACT

SAT

Colleges Attended and Dates:

Semester in which I would like to begin: *

Spring 2012

Summer 2012

Fall 2012

Fall 2013

Bachelor's Degree Programs:

Pre-Professional Programs:

Degree Completion Programs:

If you chose any music degree program as your intended major, what is your primary performance area?:

Associate's Degree Programs:

Men's Athletic Teams:

Women"s Athletic Teams:

I am interested in the following extracurricular activities:

I plan to live: *

On-Campus

Off-Campus (must meet off-campus residency requirements)

Do you have family who have graduated from Alderson-Broaddus College?:

Yes

If yes, please list name of family member(s) and relationship::

Signature: *

Date: *

PERSONAL INFORMATION

ACADEMIC INFORMATION

MY INTENDED MAJOR

My signature authorizes my high school to provide official transcripts and test scores to Alderson-Broaddus College.

ATHLETIC AND EXTRACURRICULAR INTERESTS

I would like to compete on the following varsity athletic teams (collegiate level):

OTHER INFORMATION

APPLICATION SIGNATURE AND AUTHORIZATION

I certify that the information provided on this application is complete and accurate to the best of my knowledge. I understand that I am responsible for requesting official transcripts from previously attended institutions (high school and/or colleges and universities) and that such transcripts become property of Alderson-Broaddus College and will not be returned to me. I also understand that acceptance to the College is subject to verification of official records sent directly from the institutions I have attended.

NOTE: Please select only one major.

NOTE: To select multiple choices, hold down the shift key and click on each choice.

APPLICATION FOR ADMISSIONS

Accounting
Athletic Training
Biology
Business Administration
Chemistry
Christian Studies
Communications : Speech
Communications : Journalism
Communications : Public Relations
Communications : Video & Radio
Communications : Health Care Communications
Computing : Computer Science
Computing : Entertainment Software Development
Computing : Information Systems
Computing : Information Technology
Computing : Software Engineering
Criminal Justice
Elementary Education
English : Creative Writing
English : Literature
English : Professional Writing
Enviromental Science
Family Studies
History
Human Resources Management
Marketing
Music : Applied Music
Music : Musical Arts
Music : Music Education
Natural Science
Nursing
Physical Education
Political Science
Physchology
Radiology
Secondary Education
Sport Management
Therapeutic Recreation
Undeclared
Visual Arts : Digital Art
Visual Arts : Drawing
Visual Arts : Painting
Visual Arts : Photography
Visual Arts : Print Making