For more information about:

Admissions & Registrar
Phone (501) 374-6305 x106
admissions@shortercollege.edu

Financial Aid
Phone (501) 374-6305 X111
financialaid@shortercollege.edu

Online Application

Title:
Mr.Mrs.     

*Gender
MaleFemale

How did you hear about Shorter College?

RACE AND ETHNICITY IDENTIFICATION

These questions comply with the U.S. Department of Education's implementation of the Office of Management and Budget's 1997 standards for maintaining, collecting, and presenting federal data on Race and Ethnicity.

Please Check One

EDUCATIONAL INFORMATION

GED (General Education Degree)/ High School Information

*Did you receive a GED?

*Did you receive a high school diploma?

Please give the full name of the High School you attended:

High School Name

GPA (If Known)

List ALL Colleges Previously Enrolled

School Name

City/State

Dates Attended

2nd School Name

2nd City/State

2nd Dates Attended

CITIZENSHIP STATUS (check one)

*U.S. Citizen

If No, What is your Country of Citizenship

Requesting I-20

Visa Number

Visa Expiration Date

Non-Resident/Visa

What is your Native Language

Marital Status

Are you a Veteran?

If Yes, Military Branch

I am a dependent or spouse of an U.S. active duty service member.

OPTIONAL: Shorter College actively assists persons with disabilities and veterans.

Are you disabled?

ENTRANCE TERM (Please select one.)

Year    Semester

Select one that Applies

ASSOCIATE OF ARTS (A.A.) IN GENERAL STUDIES (Please check your desired major.)

Please Select Your Desired Major

FAMILY INFORMATION

Father's Information

Father's Education

Mother's Information

Mother's Education

ALL STUDENT APPLICANTS MUST SIGN BELOW

I understand that any falsification of any information given in this application for admission will result in a re-evaluation of my admission to Shorter College.