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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-professional Programs

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 Personal Information Name

Preferred Name

Address City/State/Zip Home Phone (


E-mail Address I am a United States citizen.  Yes

 No

I am a permanent U.S. resident.  Yes


Date of Birth

 Female

Marital Status

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

Optional Information

 Male

Race - Please check all that apply.

 Asian

 Hispanic or Latino

 White

 Single  Married

 Native Hawaiian or Other Pacific Islander

 Black or African American

Social Security Number

 No

 American Indian or Alaska Native

Religious Preference:

Family Information I live with  Parents  A Parent  A Parent & Stepparent  Guardian(s) Father’s/Stepfather’s/Guardian’s Name

 Spouse

 Other

Address (if different) College Attended

Degree Obtained



Work Phone



E-mail Address

Mother’s/Stepmother’s/Guardian’s Name Address (if different) College Attended

Degree Obtained



Work Phone



E-mail Address

Brothers and sisters currently attending college (list name, college): Relatives or friends who have attended or are attending Adrian College: Name


 Attending

 Attended



 Attending

 Attended

Academic Information I plan to enter in

Year of

I am applying as a

 Freshman

I plan to live

 Campus Housing

 Fall Semester

 Spring Semester (transfer students only)

 Transfer

 Full-time

 Commute From Home

Currently, my top choice majors/programs are 1.


 Part-time

High School Information High School Name

Graduation Year

 Public

 Private

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

Degree(s) Earned

Total transfer hours completed

Cumulative GPA

Total transfer hours now enrolled

Anticipated GPA

Test Record I have taken the ACT.

Yes 

 No

I will retake the ACT.  Yes

 No


I have taken the SAT.

 Yes

 No

I will retake the SAT.  Yes

 No


I have earned a Michigan Promise Scholarship.

 Yes

 No

The ACT College Code for Adrian is #1954. The SAT College Code is #1001. Personal Interests Varsity Sports Played

 Football

 Baseball

 Softball

 Golf

 Basketball

 Soccer

 Volleyball

 Track/Cross-Country

 Cheer/Dance

 Tennis

 Synchronized Skating

 Hockey

 Bowling

 Other

 Lacrosse


 Newspaper

 Radio

 Theatre

 Student Government

Student Organizations

Community Service 

 Religious Life

 Marching Band

 Choir

 Yearbook

 Other

 Honors Society

 Foreign Language

 Other

Financial Aid Information I plan to apply for Financial Assistance.

 Yes

 No

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).

 Yes

 No

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

Adrian College Application  
Adrian College Application  

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