Application for Admission - Messiah College

Document Sample
Application for Admission - Messiah College Powered By Docstoc
					              Application for Admission




                                                                      messiah.edu
                                                                      admiss@messiah.edu
                                                                      800.233.4220
                                                                      Grantham, Pa.


sharpening intellect   deepening christian faith   inspiring action
                                        2012 application checklist
First-Year Student                                                                        Transfer Student
Standard Application Option                                                               If you have completed 12 or more college credits since graduat-
Your application file is complete and ready for review when                               ing from high school, your application file is complete and ready
we have received the following:                                                           for review when we have received the following:
               Application form (online version available at:                                             Application form (online version available at:
               messiah.edu/admissions/application/)                                                       www.messiah.edu/admissions/application/)
               High school transcript (Ask your high school                                               College transcript(s) (Request transcript(s) from
               guidance counselor to mail an official copy.)                                              any and all institutions attended.)
               Standardized test results: SAT (Messiah College SAT                                        High school transcript (required if fewer than 30
               code is 2411) or ACT (Messiah College ACT code is                                          credits have been completed)
               3630)                                                                                      Standardized test results (required if fewer than 30
               Christian life recommendation form                                                         credits have been completed)
               Essay                                                                                      Christian life recommendation form
               Application fee:                                                                           Essay
                  • Printed/paper application — $30 (Fee is waived                                        Application Fee:
                     if received before Nov. 15, 2012.)                                                      • Printed/paper application — $30 (Fee is waived
                  • Online/electronic application — $20 (Fee is                                                 if received before Nov. 15, 2012.)
                     waived if received before Nov. 15, 2012.)                                               • Online/electronic application — $20 (Fee is
                                                                                                                waived if received before Nov. 15, 2012.)
First-Year Student
Write Choice Application Option                                                           International Student
If you desire to apply without submitting standardized test scores                        (non-U.S. citizen or a permanent resident, U.S. citizen living
(SAT or ACT), there is another option. For scholarship purposes,                          abroad, dual U.S. citizen)
it is recommended that students apply using the Standard                                  Please complete the International Student Application for
Application Option if you scored 1050 or higher (SAT) or 22 or                            Admission, available at: messiah.edu/admissions/international/.
higher (ACT).
               Application form (online version available at:                             Admission Decisions
               messiah.edu/admissions/application/)                                       Once all application documents are received, admission
               High school transcript (Ask your high school                               decisions are processed on a rolling or continuous basis (and
               guidance counselor to mail an official copy.)                              communicated after Sept. 15).
                      • Write Choice applicants must be ranked in
                         the top 20% of their high school class
               Christian life recommendation form
                                                                                          Contact Us
                                                                                          Messiah College
               Essay
                                                                                          One College Avenue Suite 3005
               Graded writing sample (high school class
               composition, essay, research paper, etc.)                                  Mechanicsburg PA 17055
               Schedule required admission interview (All                                 800-233-4220 (toll free), 717-691-6000
               application materials above must be submitted                              fax: 717-691-2307
               prior to scheduling your Write Choice admission                            admiss@messiah.edu
               interview via the admissions visit coordinator —                           messiah.edu
               visitmessiah@messiah.edu or 800-233-4220.)
               Application fee:
                   • Printed/paper application — $30 (Fee is waived
                     if received before Nov. 15, 2012.)
                   • Online/electronic application — $20 (Fee is
                     waived if received before Nov. 15, 2012.)

Messiah College does not discriminate against students or applicants for admission on the basis of race, color, national or ethnic origin, sex, disability, or age in the
administration of its educational policies, admissions policies, scholarship and loan programs, athletic and other school-administered programs or in any other aspect of its
operations.

Messiah College’s Campus Security Report and Safety and Security Information are posted on the Department of Safety website at messiah.edu/offices/safety/report.html.
Information includes statistics regarding the incidence of campus crime over the past three years, as well as details about our safety and security practices. Related material
can be found on the U.S. Department of Education website at ope.ed.gov/security/. If you would like additional information, clarification or a paper copy, please contact
the Department of Safety at 717-766-2511, extension 6005.

This serves as notification to current and prospective students that, pursuant to Section 486 of the Higher Education Act, Messiah College’s six-year graduation rate and
other retention/graduation data are available online. A hard copy will be provided upon request by contacting the Institutional Research Office. To view statistics online,
please go to the Messiah College home page — Campus Offices — Institutional Research. Once at the website, click on Messiah Stats — Six-Year Graduation Rate (HEA Sec-
tion 48) or key in messiah.edu/offices/research/data/.
                                         personal information
I am applying as a:             First-Year Student         Transfer Student (completed 12 or more college credits after high school graduation)

Application option:             Standard Choice           Write Choice (first-year students only)

Enrollment term:                Fall 20 _____          Spring 20 _____     Do you plan to be a full-time student?         Yes          No

Housing plans:                  On-campus residence            Commuting (Commuting students —under the age of 22 — must live with
                                                               parents, relatives or in a residence approved by the College.)

1. Name ___________________________________________________________________________________________________________
          FIRST                         MIDDLE                       FAMILY / LAST                    FORMER NAME USED


2. Preferred first name ______________________________________                           3. Gender      Male        Female

4. Mailing address __________________________________________________________________________________________________
                      STREET/ P.O. BOX / RURAL ROUTE
                    __________________________________________________________________________________________________
                      CITY                                                               STATE                                  ZIP


5. Primary phone ( _____ ) _______________________             Home       Secondary phone ( _____ ) ________________________                 Home
                                                               Cell                                                                          Cell

6. Email address _____________________________________________                7. Country of birth __________________________________
                    (IF MORE THAN ONE, LIST PREFERRED)


8. Social Security number _________ – _________ – __________                         9. Date of birth _________ /_________ /______________
        (NOTE: REqUIRED FOR PURPOSES OF FEDERAL STUDENT AID PROGRAMS)                                MONTH          DAY               YEAR


10. What is your citizenship status?
               U.S. citizen only
               Dual citizen (U.S. + one other citizenship: ________________________________________________)
               If neither apply, please use the International Student Application for Admission available at messiah.edu.

11. Ethnicity (If you are a U.S. citizen, providing the information below is voluntary and will not be used in a discriminatory manner.
               These questions comply with the U.S. Department of Education’s new standards for ethnic and racial data collection):
    • Is your ethnicity Hispanic / Latino (Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish
      culture or origin)?
            Yes, Hispanic / Latino      No, not Hispanic / Latino
    • Please identify your race (select one or more races):
           American Indian or Alaskan Native (a person having origins in any of the original peoples of North or South America,
           including Central America, and who maintains a tribal affiliation or community attachment)
           Asian (a person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian subcontinent
           including, for example, Cambodia, China, India, Japan, Malaysia, Pakistan, the Phillipine Islands, Thailand, Vietnam)
           Black or African-American (a person having origins in any of the Black racial groups of Africa)
           Native Hawaiian / Pacific Islander (a person having origins in any of the original peoples of Hawaii, Guam, Samoa
           or other Pacific Islands)
           White (a person having origins in any of the original peoples of Europe, the Middle East or North Africa)
    • Native language spoken ________________________              Fluent in the following languages _________________________________

12. Home or current church (if attending) _______________________________________________________________________________
                                                 CITY                                                 STATE
    Church affiliation/denomination ____________________________________________________________________________________

13. Have you been convicted of a felony or misdemeanor?             No      Yes (If yes, submit a letter of explanation. Such conviction will
                                                                                 not necessarily disqualify you from admission.)
14. Do you plan to file the Free Application for Federal Student Aid (U.S. citizens, dual citizens and permanent residents only)?
          Yes        No
                                                     family information
15. Parents or legal guardians:

     _______________________________________________________________________ ( ______ )______________________
      FATHER OR GUARDIAN                  STREET/P.O. BOX/RURAL ROUTE         OR        SAME AS APPLICANT              PRIMARY PHONE               HOME         CELL


     _______________________________________________________________________ ( ______ )______________________
         CITY                             STATE                        ZIP                                             SECONDARY PHONE             HOME         CELL


     _______________________________________________________________________________________________________
         EMAIL                                                         OCCUPATION / EMPLOYER                           COLLEGE(S) ATTENDED

     _______________________________________________________________________ ( ______ )______________________
    MOTHER OR GUARDIAN                    STREET/ P.O. BOX / RURAL ROUTE      OR        SAME AS APPLICANT              PRIMARY PHONE               HOME         CELL

     ________________________________________________________________________ ( ______ )______________________
         CITY                             STATE                         ZIP                                            SECONDARY PHONE             HOME         CELL

     _______________________________________________________________________________________________________
         EMAIL                                                         OCCUPATION / EMPLOYER                                   COLLEGE(S) ATTENDED

16. Have any of your immediate family members attended Messiah College?

     ________________________________________________                                    _________________________________________________
    NAME                       RELATIONSHIP                    GRAD YEAR                  NAME                         RELATIONSHIP                        GRAD YEAR

     ________________________________________________                                    _________________________________________________
    NAME                       RELATIONSHIP                    GRAD YEAR                  NAME                         RELATIONSHIP                         GRAD YEAR



                                             educational information
17. What are you interested in studying? (Select from academic majors listed below.)

    First preference _____________________________________                         Undeclared / undecided

Majors                                      Engineering (B.S.E.)                       Nutrition and Food Services               English as a Second Language (ESL)
Accounting (B.S.)                           English (B.A.)                                Management (B.A.)                      Family and Consumer Sciences
Adventure Education (B.A.)                  English with Secondary Teaching            Nutrition Science (B.A.)                     Education (K–12)
Art Education (K–12) (B.S.)                    Certification (B.A.)                    Peace and Conflict Studies (B.A.)         French (K–12)
Art History (B.A.)*                         Environmental Science (B.S.)               Philosophy (B.A.)                         German (K–12)
Art (Business) (B.A.)                       Ethnic and Area Studies (B.A.)             Physics (B.A.)                            Health and Physical Education (K–12)
Athletic Training (B.A.)                    Family and Consumer Sciences Education     Physics (B.S.)*                           Mathematics (7–12)
Biblical and Religious Studies (B.A.)          (K–12) (B.S.)                           Physics with Secondary Teaching           Middle Level (Grade 4–8)
Biochemistry (B.A.)                         Film and Media Arts (B.A.)                    Certification (B.A.)                   Music (K–12)
Biochemistry (B.S.)                         French (B.A.)                              Politics (B.A.)                           Physics (7–12)
Biology (B.S.)                              French with K–12 Teaching                  Psychology (B.A.)                         Social Studies (7–12)
Biology (Secondary) and Environmental          Certification (B.A.)                    Psychology (B.S.)                         Spanish (K–12)
   Education (K-12) Dual Teaching           German (B.A.)                              Public Relations (B.A.)
   Certification (B.S.)                     German with K–12 Teaching                  Social Work (B.S.W.)                      3+ Programs
Biology with Secondary Teaching                Certification (B.A.)                    Sociology and Anthropology (B.A.)         Biochemistry (B.A.)/Doctor of Pharmacy
   Certification (B.S.)                     Health and Exercise Science (B.A.)         Spanish (B.A.)                               (PharmD) — University of the Sciences
Biopsychology (B.S.)                        Health and Physical Education              Spanish with K–12 Teaching                   in Philadelphia
Broadcasting (B.A.)                            (K–12) (B.A.)                              Certification (B.A.)                   Biopsychology (B.S.)/MSOT in
Business Administration (B.S.)              History (B.A.)                             Spanish Business (B.A.)                      Occupational Therapy — Thomas
Chemistry (B.A.)                            History with Secondary Social Studies      Sport Management (B.A.)                      Jefferson Universi ty
Chemistry (B.S.)                               Teaching Certification (B.A.)           Studio Art (B.A. and B.F.A.)              Health and Exercise Science (B.A.)
Chemistry with Secondary Teaching           Human Development and Family               Sustainability Studies (B.A.)                EMOT in Occupational Therapy —
   Certification (B.A.)                        Science (B.A.)                          Theatre (B.A.)                               Thomas Jefferson University
Chinese Business (B.A.)                     Humanities (B.A.)                          Theatre (Business) (B.A.)                 Politics (B.A./M.S. in Public Policy and
Chinese Studies (B.A.)                      International Business (B.S.)                                                           Management)— Carnegie Mellon
Christian Ministries (B.A.)                 Journalism (B.A.)*                         Teacher Certification Programs               University
Communication (B.A.)                        Marketing (B.S.)                           Art Education (K–12)
Computer and Information Science (B.S.)     Mathematics (B.A.)                         Biology (7–12)                            Pre-Professional Programs
Criminal Justice (B.A.)                     Mathematics with Secondary Teaching        Biology(7–12) and Environmental           Messiah College supports the following
Dance (B.A.)                                   Certification (B.A.)                    Education (K–12) (requires dual           Pre-Health and Professional Programs
Digital Media (B.A.)                        Molecular Biology (B.S.)                      certification with biology)            through specialized advising:
Economics (B.A.)                            Music (B.A.)                               Chemistry (7–12)
                                                                                                                                 Pre-Allied Health — various related fields
Economics (B.S.)                            Music (Business) (B.A.)                    Education with Teaching Certification
                                                                                                                                 Pre-Dental
Education with Teaching Certification       Music Education with Teaching                 in Grades PreK-4 (B.S.)
                                                                                                                                 Pre-Medical – various related fields
   in Grades PreK-4 (B.S.)                     Certification (K–12) (B.S.)             Education with Dual Teaching
                                                                                                                                 Pre-Physical Therapy
Education with Dual Teaching                Music Performance (B.M.)                   Certification in Grades PreK-4 and
                                                                                                                                 Pre-Veterinary
Certification in Grades PreK-4 and          Musical Theatre (B.F.A.)                      Special Education PreK-8 (B.S.)
   Special Education PreK-8 (B.S.)          Nursing (B.S.N.)                           Education with Teaching Certification
                                                                                                                                 *Requires at least one semester at the
Education with Teaching Certification       Nutrition and Dietetics (B.S.)                in Grades 4–8 (B.S.)
                                                                                                                                  Messiah College Philadelphia Campus.
   in Grades 4–8 (B.S.)                                                                English (7–12)
High School
18. Year of high school graduation ____________________

19. High school attended (most recently):      Public       Private       Home
    If home-educated, are you earning a state-recognized high school diploma?            Yes     No

    ________________________________________________________________________________________________________
    NAME OF SCHOOL                                     STREET / P.O. BOX / RURAL ROUTE


    _____________________________________________________________________________ ( _____ )___________________
    CITY                                                        STATE                      ZIP           PHONE


College
20. Have you taken college courses and/or enrolled in a college or university?     Yes       No
    If yes, check all that apply:   While enrolled in high school          After graduating from high school


21. If you have attended other colleges or universities, please list each institution and indicate credits completed and/or in process:

       Institution: _____________________________________         Dates attended: ___________________ -to- ____________________
       Credits completed: _______________________________         Credits in progress: ________________________________________


       Institution: _____________________________________         Dates attended: ___________________ -to- ____________________
       Credits completed: _______________________________         Credits in progress: ________________________________________


       Institution: _____________________________________         Dates attended: ___________________ -to- ____________________
       Credits completed: _______________________________         Credits in progress: ________________________________________




                              honors / awards / recognitions
22. Please list any honors, awards and/or recognitions you have received during your high school years. Indicate the grade/year in
    which the honor or award was received. NOTE: This information may be used in the scholarship selection process. Optional
    for TRANSFER students.

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

23. As a National Merit Program scholarship sponsor, we are interested in knowing if you have been recognized in this program as a:
          High Scorer        Commended Student           Semifinalist        Finalist
                                                            activities
24. Describe any cocurricular (school-related) and/or extracurricular (church, community, etc.) activities in which you were involved
    during high school, making sure to include any leadership roles assumed. Please indicate:
         A) the activity and any leadership/titled position held
         B) the number of years involved and number of years in titled positions
    NOTE: This information may be used in the scholarship selection process and will be considered only if reported on this form
    or using this format on a separate sheet(s). Optional for TRANSFER students.

A) Activity/Position(s) held (if any)                                                              B) Number of Years in Activity/Position(s)
e.g., Marching Band —Drum Major                                                                             4/1
___________________________________________________________________________________ ________________________
1. _________________________________________________________________________________ ________________________
2. _________________________________________________________________________________ ________________________
3. _________________________________________________________________________________ ________________________
4. _________________________________________________________________________________ ________________________
5. _________________________________________________________________________________ ________________________
6. _________________________________________________________________________________ ________________________
7. _________________________________________________________________________________ ________________________
8. _________________________________________________________________________________ ________________________
9. _________________________________________________________________________________ ________________________
10. ________________________________________________________________________________ ________________________
11. ________________________________________________________________________________ ________________________
12. ________________________________________________________________________________ ________________________




                                                                  essay
25. Thoughtfully consider the following question and respond on a separate sheet of paper (not to exceed one typewritten page).
   Messiah College is a Christian college of the liberal and applied arts and sciences whose mission is to educate men and women toward
   maturity of intellect, character and Christian faith in preparation for lives of service, leadership and reconciliation in church and society.
   How have you prepared for and how do you expect to work toward fulfilling this mission as a student at Messiah College?




               Christian life statement and signature
26. Messiah College is a community of believer-scholars who share a common mission to educate men and women toward maturity
    of intellect, character and Christian faith in preparation for lives of service, leadership and reconciliation in church and society.
    Specific standards of conduct have been developed to help assure that the College fulfills its mission through nurturing personal
    growth and maintaining a College-wide atmosphere conducive to learning and academic excellence. As responsible citizens of
    our community, students voluntarily agree to abide by the College guidelines and standards as outlined in the Community Cov-
    enant and Code of Conduct as found in the Student Handbook, in exchange for the benefits of being part of the Messiah College
    community.

   I certify that I have read and am familiar with the above standards and expectations for student conduct at Messiah College. If
   admitted as a student, I agree to abide by the Messiah College Code of Conduct. I also certify that the information I have provided
   on this application is complete and accurate. Messiah College reserves the right to revoke admission or readmission in the event of
   an applicant’s misrepresentation in any phase of the application process.


    Signature ________________________________________________________________ Date _____________________________
                 Christian life recommendation form
__________________________________________________________________________ ( _____ )_________________________
NAME OF STUDENT APPLICANT (PLEASE PRINT)                                                                     PHONE


___________________________________________________________________________________________________________
STREET/PO BOX/RURAL ROUTE


___________________________________________________________________________________________________________
CITY                                                                           STATE                                  ZIP




To the Applicant:
Please print your name, address and phone number above and present this form with a stamped envelope (addressed to the
Messiah College Admissions Office) to someone who has been a spiritual/Christian life mentor or leader in your life (i.e. pastor,
youth director/sponsor, lay leader, Young Life leader, etc., excluding relatives). If you feel there is no one who knows you well enough
in this context to complete the form, please write a letter of explanation to the Admissions Office.

To the Recommender:
This recommendation will be used solely for evaluation of the applicant for admission to Messiah College. Since all admission files are
held in strict confidence, we would appreciate your open and forthright comments on each question. Return the completed form to
the Admissions Office, Messiah College, One College Avenue Suite 3005, Mechanicsburg PA 17055. Please do not return it to the
applicant. Thank you for your cooperation.

About Messiah College:
Messiah College is a Christian college of the liberal and applied arts and sciences located on a picturesque 471-acre campus 12 miles
southwest of Harrisburg, Pa., the state capital. Founded in 1909, Messiah has grown to be a community of 2,976 students and strives
to educate men and women toward maturity of intellect, character and Christian faith in preparation for lives of service, leadership
and reconciliation in church and society. Messiah is undergraduate (Bachelor of Arts and Science degree programs) and graduate;
residential (more than 90 percent of the student body resides in college housing); comprehensive (more than 80+ liberal arts, applied
and pre-professional majors available); diverse (students from 34 states, 32 countries and more than 50 church denominations); and
distinctively Christian (Christ Preeminent). Discover more at the College website messiah.edu.

1. How well do you know the applicant?            Very well        Well           Casually

2. How long have you known the applicant? _____________________________________________________________________________

3. What is your relationship to the applicant? ____________________________________________________________________________

4. Please list significant strengths and special abilities of the applicant.

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

5. Please list any weaknesses of the applicant.

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________
6. To your knowledge, has the applicant made a personal profession of faith in Jesus Christ as Lord and Savior?                         Yes       No
   Comments: __________________________________________________________________________________________________________
             __________________________________________________________________________________________________________


7. To your knowledge, does the applicant endorse the Messiah College Community Covenant, which outlines College policy
   concerning important lifestyle/behavioral expectations (e.g. Messiah is a drug-, tobacco- and alcohol-free environment)?
     Yes       No       Unsure
   You may view the entire Community Covenant document at messiah.edu/about/community_covenant.html.
  Comments: __________________________________________________________________________________________________________
            __________________________________________________________________________________________________________

8. What activities of the church, para-church and/or Christian organization(s) has the applicant participated in?
   _____________________________________________________________________________________________________________________
   _____________________________________________________________________________________________________________________
   _____________________________________________________________________________________________________________________


9. Please include any comments you feel would give insight into this individual as he/she applies for admission to Messiah College.
   (If additional space is needed, or you prefer to write a formal letter of recommendation, please attach an additional sheet of paper
   to this form.)
   Personal comments: ___________________________________________________________________________________________________
   _____________________________________________________________________________________________________________________
   _____________________________________________________________________________________________________________________
   ____________________________________________________________________________________________________________________


10. Ratings: Compared to other college-bound students that you have known, mentored or counseled, how do you compare this stu-
dent in terms of:
                               ONE OF THE                            VERY GOOD            GOOD
                                TOP FEW            EXCELLENT        (WELL ABOVE           (ABOVE                               BELOW          NO BASIS FOR
                              ENCOUNTERED          (TOP 10%)          AVERAGE)           AVERAGE)           AVERAGE           AVERAGE         EVALUATION
Academic achievement __________________________________________________________________________________________________
Cocurricular activities ___________________________________________________________________________________________________
Motivation _____________________________________________________________________________________________________________
Leadership _____________________________________________________________________________________________________________
Integrity _______________________________________________________________________________________________________________
Creativity ______________________________________________________________________________________________________________
Faith commitment ______________________________________________________________________________________________________


11. Your recommendation of this applicant for admission to Messiah College:
      Highly recommended        Recommended           Recommended with reservations                              Not recommended
________________________________________________________________ Messiah alumnus?                                Yes     No      Grad Year _________
SIGNATURE OF PERSON MAKING RECOMMENDATION

_____________________________________________________________ ( _____ )________________________________________________
NAME (PLEASE PRINT)                                                                  PHONE

_______________________________________________________________________________________________________________________
CHURCH / ORGANIZATION

_______________________________________________________________________________________________________________________
POSITION                                                                             EMAIL

_______________________________________________________________________________________________________________________
STREET/P.O. BOX/RURAL ROUTE

_______________________________________________________________________________________________________________________
CITY                                                                                 STATE                                              ZIP


May we send additional information about Messiah College to your work or church community?                             Yes       No

Please return to the Admissions Office, Messiah College, One College Avenue Suite 3005, Mechanicsburg PA 17055


                                                                                                                                                       12_1446

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:9/28/2012
language:English
pages:8