APPLY TO RANDOLPH


NOTE: You will need to complete this form within 30 minutes of starting it or the page will time out and the submit button at the bottom will not work. We recommend printing it out, and then typing up the answers that require text input. Then you can cut and paste the information into the form rather than trying to complete it in 30 minutes.



PERSONAL/ACADEMIC INFORMATION
Proposed Year of Enrollment:
Proposed Year of Enrollment:  
Proposed Term of Enrollment:
Proposed Term of Enrollment:
  
  
    
Sex:
Sex:
  
  
    
Your Graduating High School:

Select a high school using the tools to the right.
  
  
Homeschool Students -
  
Are you Transferring from another College/University:
Are you Transferring from another College/University:
If transferring, what is your current institution's name:

Select an institution using the tools to the right.
  
  
At this time I am interested in studying:
Please select any Activities in which you are involved:




  
  
  
  
Have you ever been dismissed for academic reasons:
Have you ever been dismissed for academic reasons:
Have you ever been dismissed for disciplinary reasons:
Have you ever been dismissed for disciplinary reasons:
Have you ever been found guilty or convicted of a misdemeanor or felony:
Have you ever been found guilty or convicted of a misdemeanor or felony:
RESIDENCY INFORMATION
Are you a U.S. citizen or permanent resident:
Are you a U.S. citizen or permanent resident:
  
WE ARE REQUIRED TO ASK THE FOLLOWING, BUT YOUR ANSWERS ARE ALL OPTIONAL:
Ethnicity:
Race (select one or more):



DEPENDENT STUDENTS MUST PROVIDE PARENT/GUARDIAN'S NAME AND ADDRESS BELOW:
  
YOU MAY ADD A SECOND GUARDIAN'S INFORMATION BELOW:
 
* Verification: 

By submitting this form I am indicating that the above information is complete, factually correct and honestly represented. In addition, it indicates that if accepted to Randolph College I will uphold the standards of the following Honor Pledge:

I pledge absolute honesty in my academic work and in all personal relationships at Randolph College. I will maintain the integrity of my word and I will respect the rights of others. Realizing that these standards are an integral part of life at Randolph College, I assume my obligation to uphold this honor pledge. If at any time I fail to live up to my obligation of this pledge, I will report myself to the Chair of the Judiciary Committee. I will also ask others to report themselves for any infraction of this pledge.