for Admission Application

(1)

for Admission

for women, by women, about women

Office of Enrollment Management 1000 W Austin, Nevada, MO 64772

1-888-5-COTTEY [email protected]

Application

(2)

The Admission

Process

ottey College encourages applications from students who are serious about enrolling in a women's liberal arts and sciences college and who are well prepared through college preparatory, honor and advanced placement courses. All candidates for enrollment must be graduates of accredited high schools or have satisfied high school graduation requirements through the G.E.D. or by special official arrangements (i.e. home school). Cottey College is committed to equal educational opportunity and does not discriminate in its educational policies and practices on the basis of race,

religion, color, national origin, age, disability, veteran status, sexual orientation, or any other factor protected by law.

C

Your application for admission should be on file in the Office of Enrollment

Management as early as possible. The College accepts students for admission only until it reaches its capacity of 350 residential students.

All applicants for admission to Cottey College should take a college preparatory sequence. The required high school curriculum includes:

four years of study in English composition and literature at least three years of math (Algebra I, II and Geometry) at least two years of history and government

at least two years of a laboratory science

at least two years of the same foreign language

Questions?

Any questions regarding the application process should be

directed to:

COTTEY COLLEGE

Office of Enrollment Management 100 W. Austin

Nevada, MO 64772 Phone 1-888-5-COTTEY Fax (417) 448-1025

[email protected] cottey.edu

A STUDENT APPLYING FOR ADMISSION MUST SUBMIT:

The completed application for admission and a $20 non-refundable application fee, pay online at: cottey.edu/appfee.

An official high school transcript (sent directly from your high school to Cottey's Office of Enrollment Management).

Official results from either the ACT or SAT.

An official transcript (sent directly from the college or university to Cottey's Office of Enrollment Management) for any and all courses taken, even if through a dual-credit program.

(3)

Application

for Admission

Please type or print clearly using ink.

Personal Information

Name __________________________________________________________________________________________

Last First Middle Preferred Name

Address ________________________________________________________________________________________

City________________________________ State _______ Zip _____________ Date of Birth ________________

Home Phone (____) ____________________ Cell Phone (____) ________________________

May we text your cell phone? _____Yes _____No

E-mail address ____________________________________________

*Disclosure of your social security number on the application for admission is voluntary. However, Sections 483 and 484 of the Higher Education Act of 1965, as amended, gives us the authority to collect this information. We use your Social Security Number to verify your identity and retrieve your records, and we may request your Social Security Number again for those purposes.

Preferred contact method (Check all that apply) : _____E-Mail _____Phone _____ Text _____Mail _____Any

Application for semester beginning: _____ Fall _____ Spring Year:________

Full time: _____ Part time: _____

I am a:_____ First Time Freshman _____Transfer _____ Re-admit

Please circle your degree(s) of interest:

Please indicate citizenship:

_____ United States Citizen *SS# ______________________________________

_____ United States Permanent Resident Permanent Resident # __________________

_____ Citizen of ______________________________________

Associate: (2-year programs)

Fine Arts Fine Arts-Art Fine Arts-Theatre Fine Arts-Music Fine Arts-Dance Science

Bachelor: (4-year programs)

Business Admin-Man Health Sciences Organizational Leadership Criminology International Business

English International Relations Environmental Studies Liberal Arts

Psychology

Secondary Education Women, Gender, and Sexuality Studies

Academic Information

(4)

Educational Background

High School Name______________________________________________________________________________

City_____________________________________ State __________________________

School Phone (____) ________________ Fax (____) ________________ E-mail _________________________

Counselor's Name____________________________ Expected Graduation Month/Year___________

High School Graduation by: _____ Diploma _____ G.E.D. _____ Homeschool

Previous high school and dates attended, if applicable _________________________________________________

If you are attending or have attended any college or university, please list each, giving dates of attendance and credits earned. Please have official transcripts sent to Cottey's Office of Enrollment Management.

College/University City/State/Zip Dates Attended Credits Earned

_______________________________ ______________________ ________________ ___________

Please list the following interests:

Academic interests:

______________________________________________________________________________

Athletic interests:

______________________________________________________________________________

Extra-curricular interests:

______________________________________________________________________________

Extracurricular Activities/ Leadership: In addition to academic

achievement, Cottey values student contributions outside the classroom.

Please attach a separate page with information about your involvement in school and/or community organizations, including music (vocal or

instrumental), publications, athletics, employment, etc.

(5)

Family Information

Please provide information about the family members with whom you live:

1) _____ PARENT _____ GUARDIAN Relationship to student______________________________

Name_____________________________________________________________________________________________

Address: __________________________________________City ________________________________

State ___________ Zip _______________

Home Phone (______) __________________________ Cell (______) _________________________________

E-Mail _______________________________________________________

Title/Occupation: _______________________________________________________________________________

Highest education level attained: ______________________________________________________________

College(s) attended _____________________________________________________________________________

Name_____________________________________________________________________________________________

Address: __________________________________________City ________________________________

State ___________ Zip _______________

Home Phone (______) __________________________ Cell (______) _________________________________

E-Mail _______________________________________________________

Title/Occupation: _______________________________________________________________________________

Highest education level attained: ______________________________________________________________

College(s) attended _____________________________________________________________________________

2) _____ PARENT _____ GUARDIAN Relationship to student _____________________________

Has any member of your family ever attended Cottey? _____ Yes _____ No

If so, indicate the name, relationship, and dates attended:

___________________________________________________________________________________________________

Name Relationship Dates Attended

___________________________________________________________________________________________________

Name Relationship Dates Attended

Are you a Cottey College employee or the dependent of a Cottey employee?

_____ Yes _____ No

(6)

Knowledge of Cottey

Have you visited the Cottey campus? _____ Yes _____ No Would you like to visit the Cottey campus? _____Yes _____No How and when did you first learn about Cottey? ________________________________________________________________

________________________________________________________________________________________________________________________

What additional information do you need about Cottey? _______________________________________________________

________________________________________________________________________________________________________________________

Please list influences which/who led you to select Cottey. (If the influence is an individual, please list the name. If the influence is a Cottey alumna, P.E.O. member, or your school counselor, please specify.)

1.

___________________________________________________________________________________________________________________________________

2. __________________________________________________________________________________________________________________________________

Financial Aid Application Procedure

Do you wish to be considered for financial aid? _____ Yes _____ No

If yes, a packet containing the necessary forms will be sent to you.

Are you planning to apply for a state P.E.O. scholarship? _____ Yes _____ No

Release Information

May we release your name, address, and phone number to P.E.O. members, students, and alumnae who may wish to contact you for admission and scholarship purposes only? _____ Yes _____ No

Person Responsible for Payment of College Fees

Applicant's Signature

Name _____________________________________________ Address ______________________________________________________

City ______________________________________________ State ______________ Zip _______________________________________

Phone ( ____) _______________________________ E-mail _______________________________________________________________

Relationship to student ___________________________________________________________________________________________

I certify that all statements in this application are factually correct and honestly presented.

Signature _____________________________________________________________ Date _______________________________________

Cottey College is an independent, non-profit institution which admits academically qualified students. Cottey College is committed to equal educational opportunity and does not discriminate in its educational policies and practices on the basis of race, religion, color, national origin, age, disability, veteran status, sexual orientation, or any other factor protected by law.

_________Please check if you will be responsible for paying yourself.

Signature _____________________________________________________________ Date _______________________________________

If applicant is under 18 years of age, parent signature is required.