Adrian College Application for Admission
ADRIAN COLLEGE Your Path To... Majors
Accounting Art Arts Management Athletic Training Biology Business Administration Marketing Management Chemistry Communication Arts Argumentation and Advocacy Mass Mediated Communications Criminal Justice Earth Science Economics English Journalism Literature Writing Environmental Science/Studies Exercise Science French German History Interior Design International Business International Studies Japanese Studies Mathematics Music Musical Theatre Philosophy Physical Education Physics Political Science Psychology Religion Social Work Sociology Spanish Teacher Education Elementary Secondary Theatre
Pre-architecture Pre-art therapy Pre-engineering Pre-health sciences Dentistry Medicine Optometry Podiatry Pharmacy Pre-law Pre-physical therapy Pre-seminary Pre-veterinary
Organizations Adrian Latinos Moviendose Adelente (ALMA) African-American Leaders Promoting Higher Achievement (ALPHA) Art Club Asian Awareness Group Biology Club Cheer Team Dance Team French Club Gaming Association Geology Club
Green Machine (Environmental) International Student Organization Japanese Club Pre-Law Student Group Science Club Ski Club Spanish Club Student Government Association Tae Kwon Do
Greek Social Organizations Alpha Phi Alpha Sigma Alpha Alpha Tau Omega Chi Omega Phi Kappa Sigma Sigma Alpha Epsilon Theta Chi
Profession-Based Organizations Alpha Kappa Psi (Professional Business Fraternity) American Society for Interior Design Music Educators National Conference Public Relations Student Society of America
Religious Organizations Alpha & Omega Campus Crusade for Christ Catholic Student Association Chi Alpha Habitat for Humanity Praise Team Pre-Seminarians Wesley Fellowship
Honoraries (National) Alpha Chi (Scholarship) Alpha Kappa Delta (Sociology) Beta Beta Beta (Biology) Kappa Delta Pi (Education) Mortar Board (Senior Leadership) Phi Alpha Theta (History) Phi Eta Sigma (Freshman Scholarship) Psi Chi (Psychology) Sigma Delta Pi (Spanish) Sigma Tau Delta (English) Rho Lambda (NPC Leadership) Theta Alpha Phi (Drama/Theatre)
Clubs with a National Affiliation
Civitan Circle K (Kiwanis) Golden Z (Zonta International)
Music Brass Quintet Chamber Choir College Choir Concert Band Jazz Band Lenawee Community Chorus Marching Band Musical Theatre Production Pep Band Opera Workshop Orchestra in Residence: Adrian Symphony String Ensemble Symphonic Chorus Wood Quintet
Media/Writing The College World (newspaper) The Oxcart (literary magazine) WVAC Radio
Study Abroad Australia Austria China Denmark England France Germany Hong Kong Iceland Italy Japan Mexico The Netherlands Russia Spain
Please return your completed application to: Admissions House, Adrian College, 110 South Madison Street, Adrian, MI 49221 Submit official high school transcripts with SAT or ACT scores and official college transcripts if applicable. If you are an international student, a nontraditional student, a reentering student or a non-degree-seeking student, please contact the Admissions Office for the appropriate application. 1-800-877-2246. You may apply online at www.adrian.edu. Personal Information Name
Address City/State/Zip Home Phone (
E-mail Address I am a United States citizen. Yes
I am a permanent U.S. resident. Yes
Date of Birth
Men: Baseball Basketball ACHA Hockey Cross Country Football Golf MCHA Hockey Lacrosse Soccer Tennis Track Women: Basketball Bowling Cheer Team Cross Country Dance Team Golf Hockey Lacrosse Soccer Softball Synchronized Ice Skating Tennis Track Volleyball Intramural Athletics: Basketball (3-on-3, Full-court) Broom Ball Dodge Ball Fitness Challenge Flag Football Floor Hockey Frisbee Golf Racquetball Soccer Volleyball (3-on-3, 6-on-6) Wiffle Ball
Race - Please check all that apply.
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
Black or African American
Social Security Number
American Indian or Alaska Native
Family Information I live with Parents A Parent A Parent & Stepparent Guardian(s) Father’s/Stepfather’s/Guardian’s Name
Address (if different) College Attended
Mother’s/Stepmother’s/Guardian’s Name Address (if different) College Attended
Brothers and sisters currently attending college (list name, college): Relatives or friends who have attended or are attending Adrian College: Name
Academic Information I plan to enter in
I am applying as a
I plan to live
Spring Semester (transfer students only)
Commute From Home
Currently, my top choice majors/programs are 1.
High School Information High School Name
Address City/State/Zip Name of Guidance Counselor His/Her Office Phone (
College Information College(s) attended (if any) College most recently attended Date Attended
Total transfer hours completed
Total transfer hours now enrolled
Test Record I have taken the ACT.
I will retake the ACT. Yes
I have taken the SAT.
I will retake the SAT. Yes
I have earned a Michigan Promise Scholarship.
The ACT College Code for Adrian is #1954. The SAT College Code is #1001. Personal Interests Varsity Sports Played
Financial Aid Information I plan to apply for Financial Assistance.
If yes, you must file the Free Application for Federal Student Aid (FAFSA) between January 1 and March 1 for maximum consideration. The code for Adrian is 002234. I hold a Michigan Educational Trust Contract (MET).
My signature authorizes my high school to provide official transcripts and test scores to Adrian College. Signature of Applicant
I certify that the information given on this application is complete and accurate to the best of my knowledge. I understand that all documents submitted become the property of Adrian College. I understand that any misrepresentation of information on this form could render me subject to immediate dismissal from the College.
Adrian College 110 South Madison Street Adrian, Michigan 49221-2575 1-800-877-2246 www.adrian.edu
Published on Jan 9, 2009