Homeschool-Guest-Student-Application - Application for Hom...

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
PERSONAL INFORMATION Last name First name Middle initial Maiden/other last name Preferred first name Address City State ZIP Code Home phone Cell phone Email address Is the above address the same for both of parents? £ Yes £ No If not, with which parent to do you live? Social Security Number Birthday (mm/dd/yy) Gender: £ Male £ Female Marital status: £ Single £ Married £ Separated £ Divorced Religious preference: £ Church of Christ £ Community Church £ Baptist £ Methodist £ Lutheran £ Catholic £ Other Name of your church congregation Ethnic origin (optional): £ Asian/Pacific Islander £ Black (non-Hispanic) £ Hispanic multi-racial £ Native American £ White (non-Hispanic) Are you a U.S. citizen? £ Yes £ No If no, in which country were you born and of which country are you a citizen? Classification: £ Homeschool Student £ Guest Student Planned enrollment: Fall 20 Spring 20 Intended major (if unsure, write “undecided”) How did you find out about Rochester College? FAMILY INFORMATION
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 10/24/2011 for the course UNIV 2201 taught by Professor Staff during the Fall '08 term at University of Georgia Athens.

Page1 / 2

Homeschool-Guest-Student-Application - Application for Hom...

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online