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General Information

For Term Beginning:

Fall Winter Spring

Housing Preference:

On-Campus Off-Campus* Parent's Home
*Students under age 20 are expected to live on campus unless living at a parent's home

Send me more information about financial aid

Personal

Last Name:

First Name:

Middle Name:

Home Phone #:

Current Phone #:

(if different)

Birth Date

(mm/dd/yy)

Country of Birth:

Current Citizenship:

Social Security Number:

Gender:

Male Female

Marital Status:

Married Not Married

Ever convicted of a felony?:

No Yes

Preferred Method of Contact:

Mail
Telephone
Email
Fax: (number)
Other:

Home Address

Street/Box#:

City:

State/Province:

Zip/Postal Code:

Country:

Email address:

Billing Address (If different from above)

Name:

Street/Box #:

City:

State/Province:

Zip/Postal Code:

Country:

Language (Complete this section only if English is not your primary language)

Primary Language:

Years of English studied:

Special Needs

Please tell us of any physical or mental impairments, or learning disabilities which may require accommodation by the College. Bryn Athyn College will consider all students who meet the College's application requirements.

Family

Father's full name:

(Last)
(First)
(Middle)

Is he living?:

Yes No

Father's Home Address:

Same as your home address
Same as your billing address
Other:

Street/Box #:

City:

State/Province:

Zip/Postal Code:

Country:

Father's Occupation:

Father's Employer:

Father's Education Level:

Grade School
GED
High School
Some college (no degree)
College Degree:
Graduate/Professional:

Mother's full name:

(Last)
(First)
(Middle)

Mother's original name (if different):

(Last)
(First)
(Middle)

Is she living?:

Yes No

Mother's Home Address:

Same as your Home address
Same as your Billing Address
Same as father's address
Other:

Street/Box #:

City:

State/Province:

Zip/Postal Code:

Country:

Mother's Occupation:

Name of Employer:

Mother's Education Level:

Grade School
GED
High School
Some college (no degree)
College Degree:
Graduate/Professional:

Sibling Name	Age	School	Current Grade	Dates Attended

Personal/Religious Background

Are you baptized into the New Church?:

Yes No

If yes, officiating minister:

If no, have you been baptized into the Christian faith?:

Yes No

Which denomination?:

Other religious Background:

Current faith:

New Church minister with whom you have had recent contact:

(Name)
(Phone)

List any jobs (including summer employment) you have held during the past three years.

Name of Employer	Specific Nature of Work	Approx. Dates (mm/yy) to (mm/yy).	Hrs/ week

List your activities, interests, and hobbies. Include church, community, family, travel, music, sports, politics, clubs, yearbook, newspaper and other activities. Also list any related roles or positions held, along with approximate dates and hours per week.

Educational Profile

Secondary/High Schools: (please list)

School	Address	City State/Province, Country, Zip	Yrs. Attended

School and graduation/completion date:

(School)
(Date)

Examination level:

(international students)

Transfer Students, list all colleges or universities at which you have taken courses for credit. Please have a current transcript sent from each institution as soon as possible:

School	Address	City State/Province, Country, Zip	Yrs. Attended

Awards: Briefly list any distinctions, awards, or honors you have earned and offices you have held in High School or College

Courses: If this is your final year of secondary/high school, list all courses and examinations (SAT, ACT, AP, Matric, A or O Level) you plan to take this year

Areas of Study: Please indicate two subjects you are primarily interested in studying while at Bryn Athyn College.

*These indications are tentative and non-binding, but they are useful to us in assigning you, if you are offered admission, an appropriate academic advisor.

Art
Biology
Chemistry
Computer Science
Economics/Business
Education
English

History
Mathematics
Philosophy
Physics
Psychology
Religion
Sociology

Sacred Languages
Hebrew
Greek
Latin
Modern Languages
French
Spanish
German

What are your educational goals at this time?

No degree
Associate in Arts Degree
Bachelor's Degree
Graduate Study

Which goal do you expect to pursue at Bryn Athyn College?

No degree
Associate in Arts Degree
Bachelor's Degree
Religious study to supplement other pursuits

Essays

Answer the following two essay questions in the spaces below. Each essay should be approximately 150 words. Please paste ascii text only. Do not use bold or italic formatting or any hypertext markup tags. Both essays are required of all applicants and must be included with your application.

Essay 1

Write a 150-word essay on the following: Select a book you have enjoyed or have thought profound and write about some aspect of it. OR Describe a person or experience that has had a deep impact on your life. Explain its value to you.

Essay 2

What role do you think spiritual values and viewpoints should play in the academic and community life of the College?

Please submit your application by clicking on the "submit" button below. By submitting the application you indicate that all information in your application is complete, factually correct, and honestly presented.