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Online Application Form - Undergraduate

The international application form can be found here.
If you are applying to a graduate program, please use the Graduate Program application.
Bolded fields must be completed.

PERSONAL DATA
Last name:    First:    MI:   Maiden:
 
Street:
City: State: Zip Code:
Home Phone:   Work Phone:   ext.
Employer Name:
E-mail:
 
Sex: Male  Female
Date of Birth: (mm-dd-yyyy)     Social Security No.: (000-00-0000)
Are you a US citizen?  Yes  No Green Card?   Yes  No
Home neighborhood newspaper name:
 
PARENTAL INFORMATION
Father's Name:
Father's Occupation:
Education: HS Diploma  Associate's Degree   Bachelor's Degree   Advanced Degree
 
Mother's Name:
Mother's Occupation:
Education: HS Diploma  Associate's Degree   Bachelor's Degree   Advanced Degree
   
Alumnus: Both Parents  Mother   Father   Other
Address:
(if different from above)
City: State: Zip Code:  
 
Please list any other colleges to which you are applying:
 
PROGRAM INFORMATION
Status: Entering freshman Transfer  
  Non-degree Certificate
  Full-time (12+ credits) Part-time (less than 12 credits)
 
Scheduling: Day courses Evening courses  
Entrance date:   Fall  Winter  Spring  Summer Year:
 
Referral Source - The Admissions Office is interested in knowing how you learned about Goldey-Beacom College: (Please select all that apply)
Goldey-Beacom College Student - Name:
Admissions Representative
Advertising - Television  Radio  Newspaper  Other:
Open House
College Fair
Alumnus - Name:    Address:
Guidance Office - Counselor's Name:
Faculty Member - Name:    School:
Relative
Other:
 
CURRICULUM OF STUDY
Bachelor of Science
Accounting
Accounting and Information Systems (Honors Program)
Business Administration
Business Administration with a concentration in:
     Finance Management
     Finance Management (Honors Program)
     Human Resource Management
     International Business Management
     Management
     Management (Honors Program)
     Management Information Systems
     Marketing Management
     Marketing Management (Honors Program)
Computer Information Systems with a concentration in:
     Computer Security and Forensics
     Database and Network Administration
     Web and Desktop Applications
 
Associate in Science Special
Accounting Non-degree
Business Administration Certificate Programs
Management Post-Baccalaureate Certificate in Accounting
Computer Information Systems Accounting 150 Certificate
 
EDUCATIONAL BACKGROUND
High-schools you have attended:
School name:
Street:
City/State/Zip:
High School County:
Dates attended:
Graduation date:
 
School name:
Street:
City/State/Zip:
Dates attended:
Graduation date:
 
If you did not complete high school, do you have a GED?   Yes  No   Year Obtained:
 
Colleges you have attended:
College name: Part-time  Full-time
Extension or branch:
Street:
City/State/Zip:
Dates attended:
Degree granted:
 
College name: Part-time  Full-time
Extension or branch:
Street:
City/State/Zip:
Dates attended:
Degree granted:
 
Previous attendance at Goldey-Beacom College:
Dates attended: Division: Day  Evening
Degree program: Degree granted:
Name while attending:
(if different)
 
FINANCIAL AID
Are you applying for Financial Aid? Yes  No
Will you be covered by Veteran Benefits? Yes  No
Will you be covered by State Rehabilitation? Yes  No
Will you be covered by Employer Tuition Reimbursement? Yes  No
 
HOUSING
College Housing Commuter
 
STUDENT ACTIVITIES
High School activities that I have participated in (sports, clubs, etc.):
I would like to participate in the following activities:
Men's Basketball Student Host Committee
Women's Basketball Student Government
Men's Soccer Resident Student Association
Women's Soccer Fraternities
Volleyball Sororities
Softball
 Cross Country		 Student Chapters of Professional
      Organizations
Golf International Student Association
Tennis Faith-based groups
Intramural Sports School Newspaper
 
VOLUNTARY INFORMATION
Black/Non-Hispanic White/Non-Hispanic
Hispanic Asian or Pacific Islander
American Indian Multi-Racial
 
REQUIRED INFORMATION
Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?
  Yes  No
 
Have you ever been convicted of a misdemeanor (other than routine traffic offenses), felony, or other crime?
  Yes  No
 
If you answered yes to either or both questions, please explain in the box below the approximate date of each incident and explain the circumstances.
 
I certify that the information submitted is complete and accurate. I understand that falsification of information on this application may result in admission revocation or expulsion from the College and forfeiture of all fees paid to date. Goldey-Beacom College is an equal opportunity educational institution. This application is a confidential document.
 
I understand that is it my responsibility to arrange for the forwarding of official transcripts of records from all secondary and postsecondary schools that I have attended, and that such transcripts and other application materials will become the property of Goldey-Beacom College. I will contact the Admissions Office immediately, if I foresee difficulty in obtaining the required documentation.
 

 

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