Goshen College Admissions Application

Personal Information

First Name:

Middle Name:

Last Name:

Preferred Name:

Email:

Please make sure you enter a valid email address that includes '@' and '.com' otherwise, your application will not be submitted.

Mobile Phone:

Enter your number without any periods, parenthesis, or dashes. For example, if your number is (555) 555-5555 enter 5555555555.

Text Message Opt-In

By checking this box, you agree to receive occasional text messages from a real person at Goshen College about admissions events, application deadlines, and scholarship reminders. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to cancel.

Home Phone

Enter your number without any periods, parenthesis, or dashes. For example, if your number is (555) 555-5555 enter 5555555555.

Gender:

If Another Gender, please specify:

Date of Birth:

Address Information

Street:

Street 2:

City

Country/Region:

State:

State/Province/Region:

Zip/Postal Code:

Citizenship

Are you a U.S. permanent resident?

YesNo

Is there a language other than English spoken in your home?

If you chose Other, please specify:

For U.S. citizens or permanent residents, please provide your social security number (numbers only, exclude hyphens/dashes):

Please note, when inputting your Social Security Number we take measures to protect your information. Your information is encrypted and will not be shared with anyone.

Program

What is your highest completed level of education, or what will it be by the time you enroll at Goshen College?

What level of degree do you plan to earn at Goshen College?

Do you have college credit which you wish to transfer?

Do you intend to transfer with 24 or more college credit hours?

Have you attended Goshen College before?

Please select your desired program.

Traditional Programs: If you are a recent High School graduate or looking to receive your first degree. Adult/Continuing Education: For students looking to progress their current profession or obtain a license/certificate.

Program

Type

Anticipated Programs of Study

Anticipated Academic Program

Second Anticipated Academic Program (Optional)

Anticipated Academic Minor (Optional)

Anticipated Start Term Fall Filter

Anticipated Start Term Spring Filter

Anticipated Start Term Summer Filter

Anticipated Start Term

Anticipated Housing:

Full time students must live on campus or with parents/relatives within 30 miles of campus until the age of 23 unless they are married, have dependents, or are 4 years removed from high school.

Would you like your SAT/ACT scores to be considered in your admissions decision?

Yes, I would like my SAT/ACT score to be considered in my admission to Goshen College.No, I would NOT like my SAT/ACT score to be considered in my admission to Goshen College.You are not required to submit a SAT/ACT score to be admitted to Goshen College, but may choose to do so if you'd like your SAT/ACT score to be considered in your admissions decision.

Anticipated Major 1 ID

Anticipated Major 2 ID

Anticipated Minor ID

Anticipated Start Term ID

Anticipated Start Term Date

RN License Information

Please provide your RN license number:

What is the state of issue for your RN License?

Teaching License Information

Please provide your teaching license number:

What is the state of issue for your teaching license?

Transition to Teaching

Which licensure track do you intend to pursue?

In what subject area do you intend to be licensed?

Educational History

Please identify all high school, colleges, or universities you have attended.

Type:

School Name:

Are you currently enrolled at this school?

Degree earned/you will have earned by the time you enroll at Goshen College

Graduation/Expected Graduation date (if none, leave blank):

GPA/Expected GPA

GPA Scale

School ID:

Education Institution Type:

Please identify the high school you will graduate from

Type:

Graduating High School

Are you currently enrolled at this school?

Degree earned/you will have earned by the time you enroll at Goshen College

Graduation/Expected Graduation date (if unknown, leave blank):

GPA/Expected GPA

GPA Scale

School ID(3):

Education Institution Type(3):

Please identify all colleges/universities you have attended.

School Name:

Are you currently enrolled at this school?

Degree earned/you will have earned by the time you enroll at Goshen College

Graduation/Expected Graduation date (if none, leave blank):

School ID(2):

Education Institution Type(2):

Would you like to add another school?

Additional Schools

Type:

School Name:

Are you currently enrolled at this school?

Degree earned/you will have earned by the time you enroll at Goshen College

Graduation/Expected Graduation date (if none, leave blank):

GPA/Expected GPA

GPA Scale

Additional School ID:

Additional Education Institution Type:

Employer Name:

Would you like to provide Parent information?

Parent/Guardian Information

First Name:

Last Name:

Email:

Please make sure you enter a valid email address that includes '@' and '.com' otherwise, your application will not be submitted.

Phone Number:

Enter the number without any periods, parenthesis, or dashes. For example, if the number is (555) 555-5555 enter 5555555555.

Relationship to you:

Do they live at the same address as you provided on this application?

Please provide their address below:

Street:

City:

State:

Zip/Postal Code:

Country:

Would you like to provide sibling information?

Sibling Information

First Name:

Last Name:

Email:

Please make sure you enter a valid email address that includes '@' and '.com' otherwise, your application will not be submitted.

Phone:

Enter your number without any periods, parenthesis, or dashes. For example, if your number is (555) 555-5555 enter 5555555555.

Expected High School Graduation Year

Did either of your parents attend Goshen College?

Have any of your siblings or grandparents attended Goshen College?

Please select all that apply:

GrandparentsSiblings

Family Information

Are you a First-Generation Student?

You are a first-generation student if none of your parents have attended a college or university in any country.

Are either of your parents employed by a Mennonite Educational Institution?

Please choose from the following:

Are they full-time or part-time?

Full-TimePart-Time

MEA Institution Type

Additional Information

Religion

Church or Place of Worship

Do you anticipate receiving financial support from your church to apply to your college costs?

If your church will support you with a specific dollar amount, please enter here.

Scholarships

Are you a member of the Phi Theta Kappa Honor Society?

Are you a National Merit Finalist/Semifinalist?

For Indiana residents, are you the recipient of a Lily Endowment Community Scholarship?

For Indiana residents, are you an Indiana Latino Institute (IL) Scholar?

Final Statements

Goshen College reserves the right to select students on the basis of academic performance and personal qualifications. Goshen College is in compliance with all applicable federal regulations pertaining to nondiscrimination on the basis of race, color, national or ethnic origin, sex, disability, age, sexual orientation, gender identity or any legally protected status in its recruitment, admission, educational, athletic, financial aid and employment policies and programs.

Have you ever been accused of or convicted of a felony?

If yes, please email an explanation to the Director of Admission at: director.admissions@goshen.edu

Goshen College is dedicated to fostering a spirit of hospitality on our campus, including all students, faculty and staff and college guests, as part of maintaining a healthy living and learning community. In order for a diverse community to thrive, we must recognize our differences and seek understanding and integrity in our relationships. Students and faculty at Goshen College are expected to support an environment of mutual respect and accountability, to care for the personal dignity of others and to have integrity in their conduct and communication. Alcohol and illegal drug use or possession on campus is strictly prohibited. All forms of tobacco use are also prohibited on campus.

By typing my full name below I affirm and verify the accuracy of the information given in this application, and I understand that this affirmation is a legally binding equivalent of my written signature and indicates awareness of and agreement to live in harmony with Goshen College's Community Standards.

Reference Waiver

By submitting this application, you are waiving the right to review any references submitted in connection with this application. If you do not wish to waive this right, contact us at adult@goshen.edu.

Your Name:

Date:

Review and Submit

You're almost done! Please take a moment to go back and review your answers before hitting submit. Once you hit submit you will be unable to edit your answers.