Sterling College

Admissions Application

Contact Information

First Name: *

Middle Name: *

Last Name: *

Preferred First Name:

Maiden Name:

Street Address: *

Route/Box/Apt. No.:

City: *

State: *

Zip Code: *

Country: *

Home Telephone Number: *

Cell Phone Number:

E-mail Address: *

Sterling College Information

I want to enroll in: *

I will be a: *

I will live: *

How did you first learn of Sterling College: *

Indicate any members of your family who have attended Sterling College and their relationship to you:

If you heard about Sterling from an alumnus or current student, what was their name?: *

Indicate grandparent(s) or great grandparent(s) who attended the former College of Emporia, a sister school of Sterling which closed in 1972:

Fill in this chart with information about your family members.

Fill in this chart with information about your family members (siblings or children)

Family Member

First Name:

Age:

Relationship to Student:

High School Grad Year:

If there are more than six family members, list additional members in this field:

Father/Guardian/Husband

Name: *

Email Address:

Address:

City/ST/Zip:

Home Telephone:

Cell Phone:

Work Telephone:

Occupation:

College Attended (if any):

Highest Degree Earned:

Mother/Guardian/Wife

Name: *

Email Address:

Address:

City/ST/Zip:

Home Telephone:

Cell Phone:

Work Telephone:

Occupation:

College Attended (if any):

Highest Degree Earned:

Academic Information

Date of High School Graduation (mm-dd-yyyy): *

School 1

High School / College: *

City/ST/Zip:

Dates Attended:

Credit Hrs. Earned/AP Courses Taken:

School 2

High School / College:

City/ST/Zip:

Dates Attended:

Credit Hrs. Earned/AP Courses Taken:

School 3

High School / College:

City/ST/Zip:

Dates Attended:

Credit Hrs. Earned/AP Courses Taken:

Have you earned college credit while still in high school?: *

Yes

No

If yes, from what college?:

Dates you have taken or plan to take the ACT/SAT:

Composite Score ACT/SAT:

Cumulative GPA:

Have you ever been subject to suspension/expulsion action in your school or to legal action as a citizen?:

Yes

No

If Yes, please explain:

Please indicate your primary academic interest(s)

Major 1: *

Major 2: *

Major 3: *

Athletics / Activities

If you plan on participating in varsity athletics or activities, please indicate your primary interest

Option 1:

Option 2:

Option 3:

Have you been contacted by an SC coach?:

Yes

No

If Yes, which sport?:

Essay Question

Sterling College may request an essay from students.

Signoff

I certify that the information herein is complete, factually accurate, and honestly completed. I further understand that my admission and subsequent registration may be cancelled if information is found to be false or intentionally omitted. I authorize the College to use data in reports as may be necessary to assure opportunity for all students, principally with regard to federal and state programs of financial assistance. If I enroll at Sterling College, I will recognize that a guiding principle is "No member of the Sterling College community shall take unjust advantage of any other member of the Sterling College community." Furthermore, I agree to familiarize myself with all rules and regulations of the College and abide by them.

I authorize Sterling College representatives to request my official transcripts from all institutions I have previously attended.: *

Yes

No

Applicant's Signature: *

Date: