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Application

for

Admission

sharpening intellect deepening christian faith inspiring action

messiah.edu

admiss

@

messiah.edu

800.233.4220

Grantham, Pa.

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First-Year Student

Standard Application Option

Your application file is complete and ready for review when we have received the following:

Application form (online version available at: messiah.edu/admissions/application/) High school transcript (Ask your high school

guidance counselor to mail an official copy.) Standardized test results: SAT (Messiah College SAT

code is 2411) or ACT (Messiah College ACT code is 3630)

Christian life recommendation form Essay

Application fee:

• Printed/paper application — $30 (Fee is waived if received before Nov. 15, 2012.)

• Online/electronic application — $20 (Fee is waived if received before Nov. 15, 2012.)

First-Year Student

Write Choice Application Option

If you desire to apply without submitting standardized test scores (SAT or ACT), there is another option. For scholarship purposes, it is recommended that students apply using the Standard Application Option if you scored 1050 or higher (SAT) or 22 or higher (ACT).

Application form (online version available at: messiah.edu/admissions/application/) High school transcript (Ask your high school

guidance counselor to mail an official copy.) • Write Choice applicants must be ranked in

the top 20% of their high school class Christian life recommendation form

Essay

Graded writing sample (high school class composition, essay, research paper, etc.) Schedule required admission interview (All

application materials above must be submitted prior to scheduling your Write Choice admission interview via the admissions visit coordinator — [email protected] or 800-233-4220.) Application fee:

• Printed/paper application — $30 (Fee is waived if received before Nov. 15, 2012.)

• Online/electronic application — $20 (Fee is waived if received before Nov. 15, 2012.)

Transfer Student

If you have completed 12 or more college credits since graduat-ing from high school, your application file is complete and ready for review when we have received the following:

Application form (online version available at: www.messiah.edu/admissions/application/) College transcript(s) (Request transcript(s) from

any and all institutions attended.)

High school transcript (required if fewer than 30 credits have been completed)

Standardized test results (required if fewer than 30 credits have been completed)

Christian life recommendation form Essay

Application Fee:

• Printed/paper application — $30 (Fee is waived if received before Nov. 15, 2012.)

• Online/electronic application — $20 (Fee is waived if received before Nov. 15, 2012.)

International Student

(non-U.S. citizen or a permanent resident, U.S. citizen living abroad, dual U.S. citizen)

Please complete the International Student Application for Admission, available at: messiah.edu/admissions/international/.

Admission Decisions

Once all application documents are received, admission decisions are processed on a rolling or continuous basis (and communicated after Sept. 15).

Contact Us

Messiah College

One College Avenue Suite 3005 Mechanicsburg PA 17055

800-233-4220 (toll free), 717-691-6000 fax: 717-691-2307

[email protected] messiah.edu

2013 application checklist

Messiah College does not discriminate against students or applicants for admission on the basis of race, color, national or ethnic origin, sex, disability, or age in the administration of its educational policies, admissions policies, scholarship and loan programs, athletic and other school-administered programs or in any other aspect of its operations.

Messiah College’s Campus Security Report and Safety and Security Information are posted on the Department of Safety website at messiah.edu/offices/safety/report.html. Information includes statistics regarding the incidence of campus crime over the past three years, as well as details about our safety and security practices. Related material can be found on the U.S. Department of Education website at ope.ed.gov/security/. If you would like additional information, clarification or a paper copy, please contact the Department of Safety at 717-766-2511, extension 6005.

This serves as notification to current and prospective students that, pursuant to Section 486 of the Higher Education Act, Messiah College’s six-year graduation rate and other retention/graduation data are available online. A hard copy will be provided upon request by contacting the Institutional Research Office. To view statistics online, please go to the Messiah College home page — Campus Offices — Institutional Research. Once at the website, click on Messiah Stats — Six-Year Graduation Rate (HEA Sec-tion 48) or key in messiah.edu/offices/research/data/.

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personal information

I am applying as a: First-Year Student Transfer Student (completed 12 or more college credits after high school graduation)

Application option: Standard Choice Write Choice (first-year students only)

Enrollment term: Fall 20 _____ Spring 20 _____ Do you plan to be a full-time student? Yes No Housing plans: On-campus residence Commuting (Commuting students —under the age of 22 — must live with

parents, relatives or in a residence approved by the College.)

1. Name ___________________________________________________________________________________________________________

FIRST MIDDLE FAMILY / LAST FORMER NAME USED

2. Preferred first name ______________________________________ 3. Gender Male Female

4. Mailing address __________________________________________________________________________________________________

STREET/ P.O. BOX / RURAL ROUTE

__________________________________________________________________________________________________ 5. Home phone ( _____ ) _______________________ Primary Cell phone ( _____ ) ________________________ Primary May we text this cell phone number? yes no Cell phone provider _____________________________

6. Email address _____________________________________________ 7. Country of birth __________________________________

(IF MORE THAN ONE, LIST PREFERRED)

8. Social Security number _________ – _________ – __________ 9. Date of birth _________ /_________ /______________

(NOTE: REqUIRED FOR PURPOSES OF FEDERAL STUDENT AID PROGRAMS) MONTH DAY YEAR

10. What is your citizenship status? U.S. citizen only

Dual citizen (U.S. + one other citizenship: ________________________________________________) If neither apply, please use the International Student Application for Admission available at messiah.edu.

11. Ethnicity ( If you are a U.S. citizen, providing the information below is voluntary and will not be used in a discriminatory manner. These questions comply with the U.S. Department of Education’s new standards for ethnic and racial data collection): • Is your ethnicity Hispanic / Latino (Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish

culture or origin)?

Yes, Hispanic / Latino No, not Hispanic / Latino • Please identify your race (select one or more races):

American Indian or Alaskan Native (a person having origins in any of the original peoples of North or South America, including Central America, and who maintains a tribal affiliation or community attachment)

Asian (a person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Malaysia, Pakistan, the Phillipine Islands, Thailand, Vietnam) Black or African-American (a person having origins in any of the Black racial groups of Africa)

Native Hawaiian / Pacific Islander (a person having origins in any of the original peoples of Hawaii, Guam, Samoa or other Pacific Islands)

White (a person having origins in any of the original peoples of Europe, the Middle East or North Africa)

• Native language spoken ________________________ Fluent in the following languages _________________________________ 12. Have you or your parents(s) ever served in the US Military? Yes No

If yes, what is your current military status?

Military Dependent Active Military Reserve Military Inactive Military Veteran National Guard

13. Home or current church (if attending) _______________________________________________________________________________

CITY STATE

Church affiliation/denomination ____________________________________________________________________________________ 14. Have you been convicted of a felony or misdemeanor? No Yes (If yes, submit a letter of explanation. Such conviction will

not necessarily disqualify you from admission.)

15. Do you plan to file the Free Application for Federal Student Aid (U.S. citizens, dual citizens and permanent residents only)? Yes No

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family information

16. Parents or legal guardians:

_______________________________________________________________________ ( ______ )______________________

FATHER OR GUARDIAN STREET/P.O. BOX/RURAL ROUTE OR SAME AS APPLICANT PRIMARY PHONE HOME CELL

_______________________________________________________________________ ( ______ )______________________

CITY STATE ZIP SECONDARY PHONE HOME CELL

_______________________________________________________________________________________________________

EMAIL OCCUPATION / EMPLOYER COLLEGE(S) ATTENDED

_______________________________________________________________________ ( ______ )______________________

MOTHER OR GUARDIAN STREET/ P.O. BOX / RURAL ROUTE OR SAME AS APPLICANT PRIMARY PHONE HOME CELL

________________________________________________________________________ ( ______ )______________________

CITY STATE ZIP SECONDARY PHONE HOME CELL

_______________________________________________________________________________________________________

EMAIL OCCUPATION / EMPLOYER COLLEGE(S) ATTENDED

17. Have any of your immediate family members attended Messiah College?

________________________________________________ _________________________________________________

NAME RELATIONSHIP GRAD YEAR NAME RELATIONSHIP GRAD YEAR

________________________________________________ _________________________________________________

NAME RELATIONSHIP GRAD YEAR NAME RELATIONSHIP GRAD YEAR

educational information

18. What are you interested in studying? (Select from academic majors listed below.) First preference _____________________________________ Undeclared / undecided

Majors

Accounting (B.S.) Adventure Education (B.A.) Art Education (K–12) (B.S.) Art History (B.A.)* Art (Business) (B.A.) Athletic Training (B.A.)

Biblical and Religious Studies (B.A.) Biochemistry (B.A.)

Biochemistry (B.S.) Biology (B.S.)

Biology (Secondary) and Environmental Education (K-12) Dual Teaching Certification (B.S.)

Biology with Secondary Teaching Certification (B.S.)

Biopsychology (B.S.) Broadcasting (B.A.)

Business Administration (B.S.) Chemistry (B.A.)

Chemistry (B.S.)

Chemistry with Secondary Teaching Certification (B.A.)

Chinese Business (B.A.) Chinese Studies (B.A.) Christian Ministries (B.A.) Communication (B.A.)

Computer and Information Science (B.S.) Criminal Justice (B.A.)

Dance (B.A.) Digital Media (B.A.) Economics (B.A.) Economics (B.S.)

Education with Teaching Certification in Grades PreK-4 (B.S.)

Education with Dual Teaching Certification in Grades PreK-4 and Special Education PreK-8 (B.S.) Education with Teaching Certification in Grades 4–8 (B.S.)

Engineering (B.S.E.) English (B.A.)

English with Secondary Teaching Certification (B.A.)

Environmental Science (B.S.) Ethnic and Area Studies (B.A.)

Family and Consumer Sciences Education (K–12) (B.S.)

Film and Media Arts (B.A.) French (B.A.)

French with K–12 Teaching Certification (B.A.) German (B.A.)

German with K–12 Teaching Certification (B.A.)

Health and Exercise Science (B.A.) Health and Physical Education (K–12) (B.A.)

History (B.A.)

History with Secondary Social Studies Teaching Certification (B.A.) Human Development and Family Science (B.A.)

Humanities (B.A.) International Business (B.S.) Journalism (B.A.)* Marketing (B.S.) Mathematics (B.A.)

Mathematics with Secondary Teaching Certification (B.A.)

Molecular Biology (B.S.) Music (B.A.)

Music (Business) (B.A.) Music Education with Teaching Certification (K–12) (B.S.) Music Performance (B.M.) Musical Theatre (B.F.A.) Nursing (B.S.N.)

Nutrition and Dietetics (B.S.)

Nutrition and Food Services Management (B.A.) Nutrition Science (B.A.) Peace and Conflict Studies (B.A.) Philosophy (B.A.)

Physics (B.A.) Physics (B.S.)*

Physics with Secondary Teaching Certification (B.A.) Politics (B.A.) Psychology (B.A.) Psychology (B.S.) Public Relations (B.A.) Social Work (B.S.W.)

Sociology and Anthropology (B.A.) Spanish (B.A.)

Spanish with K–12 Teaching Certification (B.A.) Spanish Business (B.A.) Sport Management (B.A.) Studio Art (B.A. and B.F.A.) Sustainability Studies (B.A.) Theatre (B.A.)

Theatre (Business) (B.A.)

Teacher Certification Programs

Art Education (K–12) Biology (7–12)

Biology(7–12) and Environmental Education (K–12) (requires dual certification with biology) Chemistry (7–12)

Education with Teaching Certification in Grades PreK-4 (B.S.)

Education with Dual Teaching Certification in Grades PreK-4 and Special Education PreK-8 (B.S.) Education with Teaching Certification in Grades 4–8 (B.S.)

English (7–12)

Family and Consumer Sciences Education (K–12)

French (K–12) German (K–12)

Health and Physical Education (K–12) Mathematics (7–12)

Music (K–12) Physics (7–12) Social Studies (7–12) Spanish (K–12)

3+ Programs

Biochemistry (B.A.)/Doctor of Pharmacy (PharmD) — University of the Sciences

in Philadelphia

Biopsychology (B.S.)/MSOT in Occupational Therapy — Thomas

Jefferson Universi ty

Health and Exercise Science (B.A.)/ MSOT in Occupational Therapy —

Thomas Jefferson University

Politics (B.A./M.S. in Public Policy and Management)—Carnegie Mellon

University

Pre-Professional Programs

Messiah College supports the following Pre-Health and Professional Programs through specialized advising:

Pre-Allied Health — various related fields Pre-Dental

Pre-Medical — various related fields Pre-Physical Therapy

Pre-Veterinary

* Requires at least one semester at the Messiah College Philadelphia Campus.

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High School

19. Year of high school graduation ____________________

20. High school attended (most recently): Public Private Home

If home-educated, are you earning a state-recognized high school diploma? Yes No

________________________________________________________________________________________________________

NAME OF SCHOOL STREET / P.O. BOX / RURAL ROUTE

_____________________________________________________________________________ ( _____ )___________________

CITY STATE ZIP PHONE

College

21. Have you taken college courses and/or enrolled in a college or university? Yes No

If yes, check all that apply: While enrolled in high school After graduating from high school

22. If you have attended other colleges or universities, please list each institution and indicate credits completed and/or in process: Institution: _____________________________________ Dates attended: ___________________ -to- ____________________

Credits completed: _______________________________ Credits in progress: ________________________________________ Institution: _____________________________________ Dates attended: ___________________ -to- ____________________ Credits completed: _______________________________ Credits in progress: ________________________________________ Institution: _____________________________________ Dates attended: ___________________ -to- ____________________ Credits completed: _______________________________ Credits in progress: ________________________________________

honors / awards / recognitions

23. Please list any honors, awards and/or recognitions you have received during your high school years. Indicate the grade/year in which the honor or award was received. NOTE: This information may be used in the scholarship selection process. Optional for TRANSFER students.

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

24. As a National Merit Program scholarship sponsor, we are interested in knowing if you have been recognized in this program as a: High Scorer Commended Student Semifinalist Finalist

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activities

25. Describe any cocurricular (school-related) and/or extracurricular (church, community, etc.) activities in which you were involved during high school, making sure to include any leadership roles assumed. Please indicate:

A) the activity and any leadership/titled position held

B) the number of years involved and number of years in titled positions

NOTE: This information may be used in the scholarship selection process and will be considered only if reported on this form or using this format on a separate sheet(s). Optional for TRANSFER students.

A) Activity/Position(s) held (if any) B) Number of Years in Activity/Position(s)

___________________________________________________________________________________ ________________________ 1. _________________________________________________________________________________ ________________________ 2. _________________________________________________________________________________ ________________________ 3. _________________________________________________________________________________ ________________________ 4. _________________________________________________________________________________ ________________________ 5. _________________________________________________________________________________ ________________________ 6. _________________________________________________________________________________ ________________________ 7. _________________________________________________________________________________ ________________________ 8. _________________________________________________________________________________ ________________________ 9. _________________________________________________________________________________ ________________________ 10. ________________________________________________________________________________ ________________________ 11. ________________________________________________________________________________ ________________________ 12. ________________________________________________________________________________ ________________________

essay

26. Thoughtfully consider the following question and respond on a separate sheet of paper (not to exceed one typewritten page). Messiah College is a Christian college of the liberal and applied arts and sciences whose mission is to educate men and women toward

maturity of intellect, character and Christian faith in preparation for lives of service, leadership and reconciliation in church and society. How have you prepared for and how do you expect to work toward fulfilling this mission as a student at Messiah College?

Christian life statement and signature

27. Messiah College is a community of believer-scholars who share a common mission to educate men and women toward maturity of intellect, character and Christian faith in preparation for lives of service, leadership and reconciliation in church and society. Specific standards of conduct have been developed to help assure that the College fulfills its mission through nurturing personal growth and maintaining a College-wide atmosphere conducive to learning and academic excellence. As responsible citizens of our community, students voluntarily agree to abide by the College guidelines and standards as outlined in the Community Covenant and Code of Conduct as found in the Student Handbook, in exchange for the benefits of being part of the Messiah College community.

I certify that I have read and am familiar with the above standards and expectations for student conduct at Messiah College. If admitted as a student, I agree to abide by the Messiah College Code of Conduct. I also certify that the information I have provided on this application is complete and accurate. Messiah College reserves the right to revoke admission or readmission in the event of an applicant’s misrepresentation in any phase of the application process.

Signature ________________________________________________________________ Date _____________________________________

References

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