Manchester University Undergraduate Application

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First name

Middle name

Last name

Preferred name

Address line 1

Address line 2

City

U.S. state

Zip code

Primary phone #

()- This is a mobile phone. MU may send me text messages.

Secondary phone #

()- This is a mobile phone. MU may send me text messages.

Date of birth (mm/dd/yyyy)

Birthplace city

Birthplace state

Social security number

Gender

Male
Female

Marital status

Maiden name

Page 1 of 10

High school name

Graduation month

Year

High school street address

City

State

Zip code

High school counselor name

Guidance office phone

()-

Page 3 of 10

Academic honors, special awards, leadership positions, offices held, or other information about your academic background while in high school

Co-curricular activities, athletics, and volunteer work in which you have participated in high school

If you have been out of high school more than four months, list sequential employment, educational, and other activities.

Expected diploma
(Check one. If unsure, select Basic.)

Basic
Core 40
Academic Honors/Technical Honors

21st century scholar?
(Students who apply to be a 21st Century Scholar typically do so in the 7th or 8th grade and must continue to meet requirements of the program throughout high school.)

Yes
No

Page 4 of 10

Please select what factor(s) most influenced your decision to apply to Manchester University.

Second Choice

Third Choice

Please describe the most important factors in your college decision.

Semester

Will you attend

Full time
Part time

Intended academic major(s) in order of interest

Why are you interested in these majors?
When did this interest begin?

Page 5 of 10

What are your career plans?

Will you ... ?

Live on campus
Commute from home

Do you plan to submit a FAFSA (to request financial aid)?

Yes
No

Fast Forward. Fast Forward is an accelerated program that gives students the opportunity to earn a bachelor's degree in three years.

If qualified, are you interested in participating in Fast Forward?

Yes
No

Learn more at admissions.manchester.edu/degrees-academics/opportunities/fast-forward
(This link will open in a new window.)

Page 6 of 10

Co-curricular and other activities in which you plan to participate while in college

Musical activities in which you plan to participate in college

Instrumental performance - instrument
(Hold [Ctrl] or [⌘] to select more than one.)

Vocal performance - vocal part

Varsity athletics in which you plan to participate

1st sport

2nd sport

T-shirt size

Describe something you have accomplished over a significant amount of time.

Page 7 of 10

Manchester University is test optional. Would you like your SAT/ACT scores to be considered when we review your application?

I would like my SAT/ACT scores to be considered when my application is reviewed

Why do you feel you are a good fit for Manchester?

Page 8 of 10

Parent Step Parent Guardian #1

Preferred language

First name

Middle initial

Last name

Attended college?

Yes
No

Number of years

Click here if your parent's address is the same as your address.

Address line 1

Address line 2

City

State

Zip code

Phone

()-

Occupation

Employer

Work phone

()-

Email address

Preferred method of contact

Phone
Email

Page 9 of 10

Parent Step Parent Guardian #2

Preferred language

First name

Middle initial

Last name

Attended college?

Yes
No

Number of years

Click here if your second parent's address information is the same as parent 1.

Address line 1

Address line 2

City

State

Zip code

Phone

()-

Occupation

Employer

Work phone

()-

Email address

Preferred method of contact

Phone
Email

Names and relationships of relatives who attend(ed) Manchester

Name	Relationship to you	Grad. Year

Page 10 of 10

Have you ever been arrested or convicted of a felony or misdemeanor?

Yes
No

Have you received disciplinary action? Disciplinary action includes any probation, suspension, removal, dismissal, or expulsion as a result of any academic or behavioral misconduct.

Yes
No

If you have selected Yes for either question above, please give the approximate date of each incident, explain the circumstances, and reflect on what you learned from the experience.

Is there anything more you wish to share?

I attest that I completed this application, and that all information contained in my application is complete, factual and honestly presented. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false.

Bold labels and colored fields denote required data.

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After supplying a valid e-mail address, you can save your partially completed application and complete it later.

The connection from your computer to our server may have been lost. Saving or submitting this form will likely fail. Please contact helpdesk@manchester.edu.