HINDU College Admission Form

Applicant E-Mail
Important: Enter a valid e-mail address. Correspondance will be sent to this address. E-Mail:*

Applicant Information
First Name:* Middle Initial: Last Name:* Address Line 1:* Address Line 2: City:* State:* Zip Code:* Home Phone:* Work Phone:* Cell Phone: Date of Birth:* Social Security Number* What is your marital status?* Ethnic Origin:

Apt. or Suite No.

Single Married Divorced Widowed

Educational Experience
Applicants must have all official high school, college transcripts and/or GED Test scores sent directly to our College. High School Experienc e:* College Experienc e:*

Employment Status
Employme nt Status:*

Residency Status

Legal North Carolina Resident? * If yes, which county: Date moved to NC: Driver`s License Number:* State of Residence :* Day Classes: Evening Classes: Full Time: Part Time: Online Courses?* Enrollmen t:* Primary Goal:

Yes No

(mm/dd/yy yy)

Class Attendance

Yes No

Educational Goals High School Information

High School last attended:* City/State: * High School Graduate? * Graduatio n Date/Last Attended:* Highest grade level: Received GED:* GED School:

Yes No

Yes No

GED Date Received: By clicking the "Submit Application" button below, I hereby certify that all the information I have given is accurate to the best of my knowledge. Signature: *

(mm/dd/yy yy)

Enter first & last name