Admission Form for College

Personal Information

1. Name: ____________________________
2. Age: _____________
3. Date of Birth: _____________ (MM/DD/YYYY)

Academic Records

● High School Name: ___________________

● Graduation Year: ___________
● GPA: ___________

Intended Major

● First Choice: ____________________________

● Second Choice: ____________________________

Contact Information

1. Phone: ___________________
2. Email: ___________________
3. Permanent Address: ____________________________________________

Extracurricular Activities

● Activity 1: ___________________
● Leadership Roles: ___________________

Essay Section

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 ● Why do you want to attend our college?

References
Name: _______________________
Position: ____________________
Contact: _____________________

Signature of Applicant: _______________________

Date: _____________

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