Center for Adult and Professional Studies
Application for Adult Learner

Please fill out the application below and submit.

Once submitted, print out the verification and signature page, sign and mail with your $30 application fee to St. Andrews Presbyterian College Office of Admissions.

Application for: (Check one on each row)
Transfer Student Second Degree Certification
Full-Time Student Part-Time Student  
Spring 2010 Summer 2010 Fall 2010
Spring 2011 Summer 2011 Fall 2011
First Name:
 MI Last
Preferred Name:
   
Maiden Name:
Social Security #:
  
Date of Birth:
Permanent Address:
     
City:
 State Zip
Home Phone:
  
Work Phone:
  
E-mail: 
Cell:
Best time to Contact You:

AM:   PM:

Email:
   Phone:

Current Address
(if different from above):  
      
City:
 State Zip
Citizenship
US Citizen Non - US Citizen Visa type expires on
SEVIS # Permanent Resident #
Occupation:
  
Title:
  
Employer:
Full-Time Part-Time
Are you eligible for tuition reimbursement or assistance from your employer? Yes No
In Case of Emergency Contact  
Name:
     
Relationship:
Phone:
Optional Information      
Marital Status : Married:    Single: Gender: Male:    Female:
Religious Affiliation: Ethnic Origin:
   
Level of Education Completed:  
Academic Record (Official Transcripts are required from each school listed below.)
Name of High School:
 
High School's City:
State: Zip:
Graduation Year:
   
Please list all colleges, universities and other post-secondary institutions attended, beginning with last attended.
College:
 
College's City:
State: Zip:
Attended From:
To:
GPA:
Date of Graduation:
   
Are you eligible to return to this institution? Yes No  

If no, please explain:

College:
 
College's City:
State: Zip:
Attended From:
To:
GPA:
Date of Graduation:
   
College:
 
College's City:
State: Zip:
Attended From:
To:
GPA:
Date of Graduation:
   
 
What is your area of interest?
Business Administration Organizational Leadership
Elementary Education K-6 Therapeutic Horsemanship Business Management
Equine Business Management K-6 Licensure
Interdisciplinary Studies Non-Degree Seeking
   
How did you learn about St. Andrews?
Newspaper Radio School Counselor Community Flyer
Internet Mailings Friend Employer
Other (Explain):

Add comments here in support of your application:
    

  

St. Andrews Presbyterian College, in compliance with Title VI of the Civil Rights Act of 1964, operates in a non- discriminatory manner with regard to race, color, age, national origin or any other protected category. Furthermore, as required by Title IX of the 1972 Educational Amendments, St. Andrews does not discriminate on the basis of sex in its educational programs, activities, or employment policies. St. Andrews also provides equal opportunity to qualified persons with disabilities in accordance with the requirements of the Americans with Disabilities Act.


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St. Andrews Presbyterian College
1700 Dogwood Mile
Laurinburg, NC 28352
910-277-5555
800-763-0198
(fax) 910-277-5020
Copyright 2009 St. Andrews Presbyterian College