Fillable APPLICATION FOR UNDERGRADUATE ADMISSION TO HARDING UNIVERSITY ADMISSIONS (Harding University)

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APPLICATION FOR UNDERGRADUATE ADMISSION TO HARDING UNIVERSITY ADMISSIONS (Harding University)

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  • 49 check-boxes
  • 54 other fields

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File type: PDF

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APPLICATION FOR UNDERGRADUATE ADMISSION
TO HARDING UNIVERSITY
ADMISSIONS CHECKLIST
Student Name: __________________________________ Date: _______________
____________ Signed Application
____________ $50.00 Application Fee
____________ Official Transcripts showing all college work from the
university
____________ Copy of immunization records
____________ Character Reference - Send the following link to the individual
that you wish to complete the reference for you.
https://www.harding.edu/admissions/forms/characterreference
____________ Documentation of an obtained Associates Degree or
documentation of all completed required coursework not
offered on the HU_NWA campus.
____________ For HU_NWA Office Use Only: Take picture in a shirt, not a
t-shirt or sweatshirt, that will be used for Harding ID and for
Intern ID badge.
901 S. 52nd Street Rogers, AR 72758
Updated 03.30.2020 phone: 479.268.5812, fax: 479.268.5818 1
APPLICATION FOR UNDERGRADUATE ADMISSION
TO HARDING UNIVERSITY
PERSONAL INFORMATION
____________________________________________________________________________________________________
Legal Last Name Legal First Name Middle Initial
____________________________________________________________________________________________________
Preferred Name Maiden Name Cell Phone
____________________________________________________________________________________________________
Address (Street) Home Phone
____________________________________________________________________________________________________
City, State Zip Code Work Phone
Social Security Number __________________ Birth Date (mm/dd/year) ____________Age______ T-Shirt Size ________
Gender ☐ Male ☐ Female Email Address ____________________________________________
Religious Preference ________________________ Member ☐Yes ☐No Which congregation? _____________________
This information will be used in a nondiscriminatory manner, consistent with applicable civil rights laws.
1. Have you been convicted of a criminal offense other than minor traffic violations? ☐Yes (attach explanation ) ☐No
2. Have you, for any reason, been suspended or dismissed from an academic institution? ☐Yes (attach explanation ) ☐No
3. Are you a U.S. citizen? ☐Yes ☐No
If no, please check one of the following. ☐Permanent Resident ☐Temporary Resident of the U.S. ☐Undocumented
4. Are you Hispanic or Latino? (This includes anyone of Spanish culture or origin.) ☐Yes ☐No
5. Select one or more of the following racial groups that apply to you. ☐American Indian or Alaska Native ☐Asian
☐Black or African American ☐Native Hawaiian or other Pacific Islander ☐White
6. Are you or affiliated with the United States Armed Forces? ☐Yes ☐No
If yes, then how are you affiliated with the United States Armed Forces?
☐Active Duty ☐Dependent ☐National Guard ☐Reserves ☐Spouse ☐Veteran
Do you expect to receive VA benefits? ☐Yes ☐No
EMPLOYER INFORMATION
(if applicable)
____________________________________________________________________________________________________
Employer Name Job Title
____________________________________________________________________________________________________
Address (Street) Work Phone
____________________________________________________________________________________________________
City, State Zip Code Dates Employed
901 S. 52nd Street Rogers, AR 72758
Updated 03.30.2020 phone: 479.268.5812, fax: 479.268.5818 2
EDUCATIONAL INFORMATION
Have you ever attended Harding? ☐Yes ☐No
If so, when was the last date you were enrolled at Harding? ____________________________________________________
Have other members of your immediate family attended Harding? ☐Yes ☐No
If yes, who? ________________________________________________ What Relationship? ___________________
List the school(s) you have attended (or are attending).
School or College Location Date Attended Degree or Diploma GPA
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Will you have an Associates Degree before beginning at Harding? ☐Yes ☐No
Will you be age 23 or older before beginning at Harding? ☐Yes ☐No
Term of Intended Enrollment I will be seeking Please indicate which area of licensure you will pursue
☐ Fall 20_____ ☐ Bachelors Degree ☐ K-6 Elementary
☐ Spring 20_____ ☐ 4-8 Middle Level Language Arts/Mathematics
☐ Summer 20_____ ☐ 4-8 Middle Level Language Arts/Science
☐ 4-8 Middle Level Language Arts/Social Sciences
☐ 4-8 Middle Level Mathematics/Science
☐ 4-8 Middle Level Mathematics/Social Sciences
☐ 4-8 Middle Level Science/Social Sciences
To the best of my knowledge, the foregoing is correct and complete. Furthermore, as a Harding student, I agree to abide by
all rules, regulations, and requirements of the University, including financial matters. I also agree that any credit balance on
my account in the Business Office may be applied to other debts to the University. I understand that amounts received from
aid awards will be credited to my school account. If a credit balance results, I authorize Harding University to hold my credit
until I make a written request for it.
Signature ______________________________________________________________ Date ________________________
FOR YOUR INFORMATION:
Harding’s CLEP Code is 6267.
Financial Aid Title IV code is 001097.
● Harding University does not discriminate on the basis of race, color, creed, religion, sex, marital status, age, disability,
national or ethnic origin or receipt of public assistance in its educational programs, activities, or employment to the
extent required by law, except where necessitated by religious tenets held by the institution and its controlling body.
ADMISSIONS PROGRESS (Office Use Only)
☐ Application Fee $50 - Date Paid _________________
☐ College Transcript _____________________________
☐ College Transcript (2nd) ________________________
☐ College Transcript (3rd) ________________________
☐ College Transcript (4th) ________________________
☐ Immunization/Health Form
☐ T-Shirt Mailed
READMISSION PROGRESS (Office Use Only)
☐ Approved by Office of Student Life
☐ _____ Hours Completed as of (date) ______________
☐ _____GPA as of (date) _________________________
☐ Approved by VP for Academic Affairs
☐ Status
☐ Status: Other _________________________________
☐ Approved by Business Office
901 S. 52nd Street Rogers, AR 72758
Updated 03.30.2020 phone: 479.268.5812, fax: 479.268.5818 3
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APPLICATION FOR UNDERGRADUATE ADMISSION TO HARDING UNIVERSITY ADMISSIONS (Harding University)

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Completed 23 July 2020

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