Last name:

First name:

Middle name:

Preferred first name:

Former last name(s) if any:

Gender:

Date of Birth:

E-mail address:

Street:

City:

State:

ZIP:

County:

Phone:

Student cell phone:
(optional)

Work phone:

Dates this address is effective:

Street:

City:

State:

ZIP:

Phone:

Marital status (optional):

Are you a U.S. citizen:

Type of visa:

Ethnicity (optional):

Religious Preference (optional):

Plan to begin:

Enrollment year:

Plan to attend:

I will enter as a:

I will live:

Are you currently attending high school?

Have you previously applied to Carroll College?

If "yes", were you:

Dates(s):

Have you previously attended Carroll College:

Are you eligible to receive Veteran's educational benefits?

Please list all of the high schools you have attended:

High School name:

High School City, State, ZIP:

Dates attended:

High School name:

High School City, State, ZIP:

Dates attended:

High School name:

High School City, State, ZIP:

Dates attended:

Please list ALL of the colleges/technical schools at which you have taken courses for credit.

College name:

College City, State, ZIP:

Dates attended:

Degree earned:

College name:

College City, State, ZIP:

Dates attended:

Degree earned:

College name:

College City, State, ZIP:

Dates attended:

Degree earned:

What academic discipline(s) do you wish to study

First Choice:

Second Choice:

Dates you have taken ACT:

Dates you have taken SAT:

Dates you plan to take the ACT:

Dates you plan to take the SAT:

Briefly describe any scholastic distinctions you have received.

Family Information

Father Stepfather Guardian

Name:

Living?

U.S. Citizen

Home address:

City:

State:

ZIP:

Employer

Title/Position

E-mail address

Business phone:

College attended (if any)

Degree(s)

Year

Professional or Graduate school (if any)

Degree(s)

Year

Mother Stepmother Guardian

Name:

Living?

U.S. Citizen

Home address:

City:

State:

ZIP:

Employer

Title/Position

E-mail address

Business phone:

College attended (if any)

Degree(s)

Year

Professional or Graduate school (if any)

Degree(s)

Year

If your parents are living, indicate their marital status:

Name:

Age:

Relationship:

Year in school

Name:

Age:

Relationship:

Year in school

Name:

Age:

Relationship:

Year in school

Carroll Tradition
Please list names, relationship to you, and years of attendance of relatives attended or are attending Carroll College.

Do you wish to be considered for financial aid?

Indicate your interest for campus employment and/or loan assistance:

Will you have an off-campus job during the school year?

(NOTE: Transfer students are responsible for forwarding to the Office of Student Financial Services an official Financial Aid Transcript from EACH institution previously attended, even if no financial aid was received.)

Extracurricular/Personal/Community Achievements
Please list your academic achievements or interests. For example, music, athletics, volunteer work etc.

Activity: Years of participation:

Positions held/honors received:

Activity: Years of participation:

Positions held/honors received:

Activity: Years of participation:

Positions held/honors received:

Personal Statement:
The essay portion of this application is optional. However, the essay is beneficial since it can better acquaint us with you as an individual. This is helpful to us for admission purposes. We are interested in why college is important to you.

Have you ever been dismissed from school for disciplinary reasons?

Yes No

Have you ever been convicted of any offense other than a minor traffic violation?

Yes No, if yes, please explain

Of the colleges you are interested in Carroll is:

My top choice In my top 3 In my top 5