3
Application for Transfer/Adult Undergraduate Admission
Application Status (please respond to each statement or question)
I am applying as a:
Transfer Student (age 22 and younger)
WINGS – Adult Education First Degree
WINGS – Adult Education Degree
Completion
WINGS – Adult Education Second
Degree
I am applying for admission
beginning in the term:
August of ______ (year)
January of ______ (year)
Summer of______ (year)
Personal Information (All information provided is kept strictly confidential and only used by Meredith College)
Legal name _________________________________________________________________ /
first middle last preferred or nickname
U.S. Social Security number _________ – ________ – ___________ Date of birth ________ / ______ / ___________
month day year
Permanent address ___________________________________________________________ /
street, route county
_____________________________________________________________ Telephone (_______) ________________
city state ZIP/Postal Code
_________________________________________________________ / ____________________________________
province country
Mailing address (if different) ___________________________________________________________ / ________________
street, route county
_____________________________________________________________ Telephone (_______) ________________
city state ZIP/Postal Code
_________________________________________________________ / ____________________________________
province country
E-mail ____________________________________________________ Cellular phone (_______) _____________________
Employer __________________________________________________ Work phone (_______) _____________________
If you have attended any secondary or post secondary institutions under a different name please provide the name(s):
_____________________________________________________________________________________________________
The Office of Admissions will contact you a number of ways regarding your application, however, we wish to know
your preference for how we communicate with you. Please check all that apply:
Email Cell Phone Home Phone Text Message
Indicating preference signifies your approval for Meredith to communicate with you via these methods.
Are you a North Carolina resident?
Yes No If yes, how long? ____________________________________
If no, or less than a year, where?
___________________________________________________________
Applicants are strongly encouraged to submit the Free Application for Federal Student Aid (FAFSA). Have you
already submitted FAFSA yet?
Yes No
Do you have a parent or guardian currently employed by Meredith College?
Yes No
Are you a veteran?
Yes No
Country of citizenship
USA Other __________________________________________________________
If OTHER, please specify country & complete applicable questions in the shaded box on the next page.
I plan to reside:
On-Campus (first bachelor candidates
only)
Off-Campus (commuter, if eligible;
complete the agreement on page 11)
Will you be applying for financial aid?
Yes No
Office of Admissions • 3800 Hillsborough Street
Raleigh, NC 27607-5298 • (919) 760-8581 or
1-800-MEREDITH • FAX (919) 760-2348
meredith.edu • admissions@meredith.edu
over
4
If Not a U.S. Citizen
1. Are you a resident alien (also called permanent resident/green card holder)? YES NO
If YES, please indicate alien registration number and skip to question 5:
2. Are you currently in the U.S.?
YES NO If YES, please specify visa type or special circumstances:
(Additional information will be requested if you are accepted for admission)
3. Will you require a student (F-1) visa? YES NO If YES, indicate your country of birth:
4. Are you a dual citizen (a citizen of more than one country)?
YES NO
If YES, which country’s passport will you use when entering the U.S.?
5. Is English your native language?
YES NO
Was English the primary language of instruction in your most recent schooling?
YES NO
A photocopy of passport, permanent resident card, Visa and/or I-94 card will be required if accepted for
admission. Further information will also be required for F-1 Visa holders.
Meredith College admits qualified women students without regard to race, creed, sexual orientation, national or ethnic origin, age or disability.
Optional Information (used for statistical studies and reports)
How did you first become interested in Meredith College? (check one)
Alumna Current Student Family Friend College Fair Meredith Publications
Internet Academic Adviser Athletics Other _____________________________________________
Race and Ethnic Origin
Are you Hispanic or Latina?
Yes No *If yes, mother/guardian’s country of origin _______________
*If yes, father/guardian’s country of origin ________________
Please select one or more of the following groups of which you consider yourself a member:
American Indian or Alaskan Native Asian Black or African American
Native Hawaiian or other Pacific Islander White Other
Emergency Contact Information
Parent/Spouse name _________________________________________________________________________________
first middle last
Relationship:
________________________________________________________________________________________
Home address ______________________________________________________________________________________
street, route or PO Box
____________________________________________________________________________________________________
city state ZIP/postal code province country
E-mail address
______________________________________________________________________________________
Cell Phone (_______) _________________________ Home phone (_____)
___________________________________
Occupation/Position _________________________________________________________________________________
Employer _______________________________________________ Work phone (_______) _______________________
Additional Information
Please list any Meredith College graduates/current students to whom you are related:
Name __________________________________________________ Class _________ Relationship
__________________
first last surname
Name __________________________________________________ Class _________ Relationship
__________________
first last surname
Please list any additional Meredith College graduates/faculty/staff/current students who influenced your decision to apply:
Name __________________________________________________ Class _________ Relationship
__________________
first last surname
Name __________________________________________________ Class _________ Relationship
__________________
first last surname
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome