Apply Now Application for Admission Personal Information Legal Name * First Middle Name Middle Last Name * Last Date of Birth Gender Male Female Email * Home Phone Mobile Phone Address Address Line 2 City State AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code County Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Congo (DRC) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe How long have you lived at the above address? Ethnic Origin African American Hispanic American Indian or Alaskan Native Caucasian (White) Asian/Pacific Islander Other (Not required and will not be used for admission purposes; for statistical purposes only) Resident Alien Yes No U.S. Citizen Yes No International students undergo a separate admission process. Please click here for further instructions. Enrollment Type Freshman Commuter Transfer Returning High School GED Other Term of Expected Enrollment Fall Spring Year of Expected Enrollment Anticipated Major Undeclared BA Business Administration BA Elementary Education Grades P-5 BA English BA English Education Grades 8-12 BA History BA Interdisciplinary Studies BA Middle School Education Grades 5-9 BA Physical Education Grades P-12 BA Social Science BA Sociology BA Social Studies Education Grades 8-12 BA Sports and Fitness Management BS Biology (Pre-Dentistry, Pre-Medicine, Pre-Optometry, Pre- Pharmacy, Pre-Physical Therapy, Pre-Veterinary Medicine, Pre-Engineering) BS Biological Sciences Education Grades 8-12 BS Kinesiology BS Mathematics Education Grades 8-12 Parents or Guadians Information Name of Parents or Guardians Parent Address Address Line 2 City State AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code County Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Congo (DRC) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Telephone Academic Information List All High Schools, Colleges and Universities Attended: Name of School Now Attending Date of Graduation School Address Name of High School Counselor Add Another School (1/4) Add Another School Name of School (1/4) Location City, State Dates Attended Starting Ending Dates Attended Ending Diploma, Degree or Certificate Recieved Yes No Add Another School (2/4) Add Another School Name of School (2/4) Location City, State Dates Attended Starting Ending Dates Attended Ending Diploma, Degree or Certificate Recieved Yes No Add Another School (3/4) Add Another School Name of School (3/4) Location City, State Dates Attended Starting Ending Dates Attended Ending Diploma, Degree or Certificate Recieved Yes No Add Another School (4/4) Add Another School Name of School (4/4) Location City, State Dates Attended Starting Ending Dates Attended Ending Diploma, Degree or Certificate Recieved Yes No Have You Previously Attended Alice Lloyd College? Yes No Please List Dates Attended Starting Ending Dates Attended ALC Ending Name(s) Under Which Records May Be Filed: First and last name, if more than one please separate by comma. Do You Wish to Live in a Dormitory? Yes No Please State Reason: When did you or do you plan to take a college entrance exam? (ACT or SAT) ACT Exam date Date of SAT Exam SAT Exam date List any community and school organizations in which you have participated and held leadership positions: What has most influenced your decision to apply to Alice Lloyd College? Financial Aid Information Below are some preliminary questions regarding your financial aid status. Please answer the questions below. This information is used for the purposes of statistical reporting and for future planning regarding students who enroll at Alice Lloyd College. This information in no way will be released or distributed to any other organization or office. Please estimate your yearly family income: $ * Number in household: * How many children currently enrolled in a college or university? * Have You Submitted the Free Application for Federal Student Aid (FAFSA)? * Yes No Date Submitted Date you submitted the FAFSA Anticipated Date to Submit Date you plan to submit the FAFSA Other Information Please answer all the questions below: Are you presently charged with or have you ever been convicted of a felony or misdemeanor other than a traffic violation? Yes No Please explain: Have you ever been plaecd on disciplinary probation, academic suspension, or dismissed by any school or college? Yes No Please explain: Please enter the letters into the field
