Columbia College
Application for Admission
General Information
I am applying for admission to Columbia College beginning m fall (August), 20___ m spring (January), 20___
I will be applying as a m first-year student m transfer student m international student
I am considering a possible major in _____________________________________________________________
Your chosen career cluster or major in high school. _________________________________________________
Will you be applying for financial aid? m yes m no
Personal Information
Full name (last, first, middle, preferred name)
Last________________________________________First___________________________________________
Middle________________________________Preferred name________________________________________
Permanent address (street, city, state, zip)
Street_________________________ City__________________State__________________zip______________
Mailing address, if different from above (street/P.O. box, city, state, zip)
Streett/P.O._______________________ City__________________State________________zip______________
Social Security number. By providing your Social Security number, your financial aid process will be expedited.
________________________________________________________________________________________
Birthdate____________________________________Place of birth_____________________________________
Are you a U.S. Citizen?
m yes m no If no, and you have an alien registration number, please enter here.__________________________
Country(ies) of citizenship______________________________________________________________________
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Are you a resident of South Carolina?
m yes (If yes, you will be required to complete the SC Residency Form.)
m no
Home phone_________________________Cell phone____________________
I prefer you to call me on my
Are you interested in receiving text messages from Columbia College? m yes m no
Would you like to receive the Columbia College eNewsletter? m yes m no
Family Information (Parents, legal guardian, or spouse. If married, list spouse only and specify.)
Father/Spouse’s Full name_____________________________________________________________________
Home address, if different from yours. (street, city, state, zip)
m home phone
m cell phone
m either phone
Street__________________________City___________________State________________Zip_______________
Father/Spouse’s Occupation______________________________College attended________________________
Phone__(___)_________________________________________Email__________________________________
Mother’s full name ___________________________________________________________________________
Home address, if different from yours. (street, city, state, zip)
Street__________________________City___________________State________________Zip_______________
Mother’s Occupation________________________________College attended____________________________
Phone__(___)__________________________________Email________________________________
With whom do you make your home? m both parents
m father
m mother
m other (please list)
Name_______________________________________________ Relationship___________________________
List any relatives who have attended Columbia College and their relationship to you.________________________
__________________________________________________________________________________________
List any friends who have attended Columbia College. _______________________________________________
__________________________________________________________________________________________
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Academic Background. List below the senior high schools, preparatory schools, colleges, universities and other institutions of higher learning you have attended. If you need more space, use a separate sheet. Please have all high school and college transcripts sent directly to the Columbia College Office of Admissions.
Name and address of current or most recent school (Name) ________________________________________
City_________________________State_________________________Dates of attendance_________________
Name and address of additional school (Name) _________________________________________________
City_________________________State_________________________Dates of attendance_________________
Name and address of current or most recent school (Name) ________________________________________
City_________________________State_________________________Dates of attendance_________________
Name and address of additional school (Name) _________________________________________________
City_________________________State_________________________Dates of attendance_________________
Date of high school graduation______________________Classification of your high school m public
Have you taken the SAT/ACT? m yes m no
If enrolled in high school, list guidance counselor’s name and phone.
m private
Name________________________________________________Phone__(____)_________________________
List other colleges to which you are currently making application._______________________________________
__________________________________________________________________________________________
How did you first become interested in Columbia College? Please check the primary reason.
m college publications m college fair m Internet m family m friend m counselor m alum
m other (please specify)_______________________________________________________________________
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Ethnic and Religious Background. Columbia College provides equal opportunity and affirmative action in education for all qualified persons. Admission decisions are not affected by race, religion, ethnic or national origin, marital status, or disability. Answers to the following questions are optional and are used for statistical reporting only.
Are you Hispanic or Latino? m yes m no
Check one or more of the following: m American Indian or Alaska Native m Asian m Black or African American
m Native Hawaiian or Other Pacific Islander m White
What is your religious affiliation, if any?___________________________________________________________
Character Information
Have you ever been suspended or expelled from a school? m yes m no
(If yes, please explain) ________________________________________________________________________
__________________________________________________________________________________________
Have you ever been convicted of a criminal offense other than a minor traffic violation or are there such criminal
charges pending against you? m yes m no
(If yes, please explain) ________________________________________________________________________ ___________________________________________________________________________________________
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Honors Information List your honors activities such as honors courses, scholastic distinctions, and academic achievements. If more space is needed, use a separate sheet. If not applicable, skip to the next section. Honors/Awards
Years received
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10
11
12
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Athletic Activities List your athletic activities such as competitive high school and/or recreational involvement. If more space needed, use separate sheet. If not applicable, skip to the next section. Activities
Years participated
Position
9
Plan to continue
10
11
12
played
in college?
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Extracurricular Activities List your extracurricular activities such as clubs, organizations, band, chorus, hobbies, and other interests. If more space needed, use separate sheet. If not applicable, skip to the next section.
Activities
Years participated 9
10
11
12
Office/position
Plan to continue
held, if any
in college?
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Community, Family, and Religious Activities List your community, family, and religious activities such as volunteer work, church activities, and other community and religious involvement. If more space needed, use separate sheet. If not applicable, skip to the next section. Activities
Years participated 9
10
11
12
Office/position
Plan to continue
held, if any
in college?
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Work Experience List your work experience such as hourly/salaried jobs. If not applicable, skip to the next section. Job
Dates Employer Hours per week
____________________________________________ _________
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Short Answer and Essay
What are five words that describe you?___________________________________________________________
__________________________________________________________________________________________
Essay Topics. The essay is another way for us to know you better. In addition, it offers you an opportunity to demonstrate your ability to organize thoughts and express yourself. The essay should be composed using your own words. Columbia College and other colleges and universities regularly check student compositions to determine if they contain material available on the Internet. Please select ONE of the topics below and write a 250-500 word essay about your chosen topic. Please use a separate sheet.
Option 1: If someone were to write a story about you 30 years from now, what would it contain about your career,
your personal accomplishments, and your life’s purpose?
Option 2: Think of two women, not related to you, who have inspired you. If you could spend the day with these
women, who would you choose and why? They may be living or may be a person from history.
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Option 3: Think of a significant experience in your life. It could be an achievement, an ethical dilemma,
or a challenge that involved risk and determination. Describe that experience and the lessons you learned.
If I enroll, I will uphold the policies and standards of Columbia College, and I will accept the regulations regarding attendance, academic standing, conduct and other matters. I understand that Columbia College may occasionally photograph or record images of students, and I give permission for my image to be used in print, video or other media by the college for promotional purposes. By signing below, I verify that the information provided on this application is factually correct, and I acknowledge that I have read the statement above and agree to its terms. Signature_________________________________________________________________ Date________________________
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