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Application for Admission

sharpening intellect deepening christian faith inspiring action

messiah.edu

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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 guid-ance 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 November 15, 2011.)

• Online/electronic application — $20 (Fee is waived if received before November 15, 2011.)

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 November 15, 2011.)

• Online/electronic application — $20 (Fee is waived if received before November 15, 2011.)

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 November 15, 2011.)

• Online/electronic application — $20 (Fee is waived if received before November 15, 2011.)

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 September 15).

Contact Us

Messiah College P.O. Box 3005 One College Avenue Grantham, PA 17027-0800 800-233-4220 (toll free), 717-691-6000 fax: 717-691-2307 [email protected] messiah.edu

2011 application checklist

Messiah College does not discriminate on the basis of gender, race, color, age, disability, or national or ethnic origin in the administration of its educational policies, schol-arship and loan programs, and athletic or other College-administered programs. Messiah College does reserve the right to revoke admission or readmission in the event of an applicant’s misrepresentations in any phase of the application process.

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.

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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

par-ents, 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

__________________________________________________________________________________________________

CITY STATE ZIP

5. Primary Phone ( _____ ) _______________________ Home Secondary Phone ( _____ ) ________________________ Home Cell Cell 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. Home or Current Church (if attending) _______________________________________________________________________________

CITY STATE

Church Affiliation/Denomination ____________________________________________________________________________________ 13. 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.)

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family information

15. 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

16. 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

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

Majors

Accounting Adventure Education Art History Arts Management Athletic Training

Biblical and Religious Studies Biochemistry

Biochemistry (B.A.)/Doctor of Pharmacy (PharmD) - 3 + 4 - University of the Sciences Biology

Biopsychology

Biopsychology (B.S.)/MSOT in Occupational Therapy - 3 + 2 - Thomas Jefferson University Broadcasting Business Administration Chemistry Chinese Business Chinese Studies Christian Ministries Communication

Computer and Information Science Criminal Justice

Dance Digital Media Economics

Education with Dual Teaching Certification in Grades PreK-4 and Special Education

Education with Teaching Certification in Grades 4-8

Education with Teaching Certification in Grades PreK-4

Engineering English

Environmental Science Ethnic and Area Studies French

German

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

Occupational Therapy - 3 + 2 - Thomas Jefferson University History

Human Development and Family Science Humanities International Business Journalism Marketing Mathematics Molecular Biology Music Music (Business) Music Performance Nursing

Nutrition and Dietetics Nutrition and Food Services

Management Nutrition Science Peace and Conflict Studies Philosophy

Physics Politics

Politics (B.A./M.S. in Public Policy and Management) - 3 + 2 - Carnegie Mellon University Psychology

Social Work

Sociology and Anthropology Spanish Spanish Business Sport Management Studio Art Sustainability Studies Theatre

Teaching Certification Programs

Art Education (K-12)

Biology (7-12)

Biology/Environmental Dual Certification (K-12) Chemistry (7-12)

Education with Dual Teaching Certification in Grades PreK-4 and Special Education

Education with Teaching Certification in Grades 4-8

Education with Teaching Certification in Grades PreK-4

English (7-12) Family and Consumer

Sciences Education (K-12) French (K-12)

German (K-12)

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High School

18. Year of high school graduation ____________________

19. 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

20. 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

21. 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

22. 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.

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

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activities

24. 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

25. 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

26. 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 Cov-enant 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 _____________________________

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Christian life recommendation form

__________________________________________________________________________ ( _____ )_________________________

NAME OF STUDENT APPLICANT (PLEASE PRINT) PHONE

___________________________________________________________________________________________________________

STREET/PO BOX/RURAL ROUTE

___________________________________________________________________________________________________________

CITY STATE ZIP

To the Applicant:

Please print your name, address and phone number above and present this form with a stamped envelope (addressed to the Messiah College Admissions Office) to someone who has been a spiritual/Christian life mentor or leader in your life (i.e. pastor, youth director/sponsor, lay leader, Young Life leader, etc., excluding relatives). If you feel there is no one who knows you well enough in this context to complete the form, please write a letter of explanation to the Admissions Office.

To the Recommender:

This recommendation will be used solely for evaluation of the applicant for admission to Messiah College. Since all admission files are held in strict confidence, we would appreciate your open and forthright comments on each question. Return the completed form to the Admissions Office, Messiah College, P.O. Box 3005, One College Avenue, Grantham, PA 17027-0800. Please do not return it to the applicant. Thank you for your cooperation.

About Messiah College:

Messiah College is a Christian college of the liberal and applied arts and sciences located on a picturesque 471-acre campus 12 miles southwest of Harrisburg, Pa., the state capital. Founded in 1909, Messiah has grown to be a community of 2,802 students and strives to educate men and women toward maturity of intellect, character and Christian faith in preparation for lives of service, leader-ship and reconciliation in church and society. Messiah is: undergraduate (Bachelor of Arts and Science degree programs); residen-tial (more than 90 percent of the student body resides in college housing); comprehensive (more than 55 liberal arts, applied and pre-professional majors available); diverse (students from 37 states, 30 countries, and more than 50 church denominations); and distinctively Christian (Christ Preeminent). Discover more at the College website: messiah.edu.

1. How well do you know the applicant? Very well Well Casually

2. How long have you known the applicant? _____________________________________________________________________________ 3. What is your relationship to the applicant? ____________________________________________________________________________ 4. Please list significant strengths and special abilities of the applicant.

___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ 5. Please list any weaknesses of the applicant.

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6. To your knowledge, has the applicant made a personal profession of faith in Jesus Christ as Lord and Savior? Yes No Comments: __________________________________________________________________________________________________________

__________________________________________________________________________________________________________ 7. To your knowledge, does the applicant endorse the Messiah College Community Covenant which outlines College policy

concerning important lifestyle/behavioral expectations (e.g. Messiah is a drug-, tobacco- and alcohol-free environment)? Yes No Unsure

You may view the entire Community Covenant document at messiah.edu/about/community_covenant.html.

Comments: __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ 8. What activities of the church, para-church, and/or Christian organization(s) has the applicant participated in?

_____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ 9. Please include any comments you feel would give insight into this individual as he/she applies for admission to Messiah College.

(If additional space is needed, or you prefer to write a formal letter of recommendation, please attach an additional sheet of paper to this form.)

Personal comments: ___________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ 10. Ratings: Compared to other college-bound students that you have known, mentored or counseled, how do you compare this stu-dent in terms of:

Academic Achievement __________________________________________________________________________________________________ Cocurricular Activities ___________________________________________________________________________________________________ Motivation _____________________________________________________________________________________________________________ Leadership _____________________________________________________________________________________________________________ Integrity _______________________________________________________________________________________________________________ Creativity ______________________________________________________________________________________________________________ Faith Commitment ______________________________________________________________________________________________________ 11. Your recommendation of this applicant for admission to Messiah College:

Highly recommended Recommended Recommended with reservations Not recommended

________________________________________________________________ Messiah alumnus? Yes No Grad Year _________

SIGNATURE OF PERSON MAKING RECOMMENDATION

_____________________________________________________________ ( _____ )________________________________________________

NAME (PLEASE PRINT) PHONE

_______________________________________________________________________________________________________________________

CHURCH / ORGANIZATION

_______________________________________________________________________________________________________________________

POSITION EMAIL

_______________________________________________________________________________________________________________________

STREET/P.O. BOX/RURAL ROUTE

_______________________________________________________________________________________________________________________

CITY STATE ZIP

May we send additional information about Messiah College to your work or church community? Yes No

Please return to the Admissions Office, Messiah College, P.O. Box 3005, One College Avenue, Grantham, Pa. 17027-0800

ONE OF THE TOP FEW

ENCOUNTERED EXCELLENT(TOP 10%)

VERY GOOD (WELL ABOVE

AVERAGE)

GOOD (ABOVE

AVERAGE) AVERAGE AVERAGEBELOW NO BASIS FOR EVALUATION

References

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