Admissions Application

Paul Quinn College

Type of Application * Freshman Transfer Readmit International
Applying for term beginning * Fall 2010 Spring 2011
Student Name * First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Cell Number * - (###) - ### ####
If no cell phone #, please put an alternate number where you you can be reached
Email Address *
Father /Guardian Name * First Last
Occupation
Mother /Guardian Name * First Last
Occupation
Spouse Name (if married) First Last
Family Members Who Are Paul Quinn Alumni (please list their name and your relationship to them)
Who referred you?
Relationship?
Student Citizenship * U.S. Citizen Student (Exchange Visitor) Resident Alien International
Date of birth * / MM / DD YYYY
Sex (gender) * Male Female Other
Entrance Essay (minimum word count of 500) *

Write an essay describing your desire to attend Paul Quinn College. Please pay attention to grammar and spelling. 500 word count minimum
Upload your picture *

Please upload your picture, preferably a headshot.
Race/Ethnic Group American Indian Asian African American Caucasian Hispanic Pacific Islander Other
Special Needs * None Hearing Impairment Visual Impairment Motor or Physical Impairment Other
If Other, please list specific needs
Religious Affiliation
Current High School Name *
High School Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
High School Graduation Date * / MM / DD YYYY
What is your High School /Transfer Grade Point Average? *
What is your Graduating Class Rank? *
Have you ever been convicted of a felony? or Expelled from you High School, College or University? * No Yes
If Yes to any of the above, please explain in detail.
Transfer Students, please list last University/College attended *

If no transfer information, please put N/A in the box
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Start Date / MM / DD YYYY
End Date / MM / DD YYYY
Do you need campus housing? * Yes No Unsure
Financial Aid. Have you applied for financial aid? (Paul Quinn College school code 003602) * Yes No
Intended Field of Study * Accounting Management Legal Studies Computer Science Interdisciplinary Studies (early childhood through 4th grade) Biology Physical Education (All Levels)
Extracurricular Activities Basketball Cross Country Intramural Basketball Band (Jazz Ensemble) must play an instrument. Sight reading optional Gospel Choir Student Goverment Honor Society Fraternity Sorority Ministry Study Abroad International Student Association
I certify that the information I have provided on this application and in all other admissions materials is accurate and true to the best of my knowledge. I understand that I am financially responsible for the payment of my student account if I am accepted to the College. Furthermore, it is my responsibility to submit my final official high school transcript upon graduation (or my official satisfactory, G.E.D. result) and if I am a transfer applicant, all final post-secondary transcripts.

Paul Quinn College may prevent my registration and/or graduation from the College should these documents not be provided. * Yes, I agree with this statement.