Last First Middle
Maiden
Preferred
Street Address City State Zip/Postal Code
County Country
E-Mail Address
Home Telephone (include area code)
Work Telephone (include area code)
Cell Telephone (include area code)
Date of Birth mm/dd/yyyy Male Female
Social Security Number
Are you a U.S. citizen Yes No
If no, describe your status
Date of high school graduation or date GED obtained
Indicate month/year you plan to enroll in college
Please list any high schools, college or other educational institutions you have attended
Name of School City & State Dates of Attendance
Additional schools, colleges and educational institutions attended:
What is your intended major? (If undecided please indicate such)
How did you first learn about McKendree University?
To which other colleges do you plan to apply for admission?
List courses you are taking or plan to take in this academic year:
Have you attended McKendree University in the past?
If yes, provide the last date attended mm/dd/yyyy:
In what activities have you been particularly active during the past two years?
In your own words, please share with us your interest in McKendree University. What is it about McKendree that you find particularly appealing?
Is there any additional information you wish to share with the Admissions Committee relative to your academics performance or personal circumstances? If so, please provide it here.
Do you plan to file the Free Application for Federal Student Aid (FAFSA)?
Yes No
Are you a veteran? Yes No
Which location do you plan to attend?
The following on race/ethnicity and religion may be completed if you wish.
Religious background/denomination:
I certify that the information I have given on this application is complete and correct to the best of my knowledge, and that I have attended no other institutions other than those listed. I understand that it is my responsibility to have forwarded to McKendree University all official school records and other application materials and these documents become the property of McKendree University and shall not be returned to me or duplicated for any reason. I also understand that my admission to McKendree University is subject to verification of all official records and that my admission may be rescinded should said records be materially different from other documentation on file.
mm/dd/yyyy
Initials
After you have completed the entire form, click the SUBMIT button. By electronically submitting this form, the applicant agrees to all of the provisions included in the Applicant's Affidavit section of this form.