[[[["field36","equal_to","Transfer"]],[["show_fields","field42"]],"and"],[[["field36","equal_to","Freshman"]],[["show_fields","field38,field39,field40,field41"]],"and"],[[["field36","contains","Non-Degree Seeking"]],[["set_value",null,"Non-Degree Seeking",null,"field45"]],"and"]]
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Application for Admission

::::::: PERSONAL INFORMATION

Last Name
First Name
Middle Name
Previous Last Names(s) / Maiden Name
Preferred Nick Name
Home Address/Mailing Address
Home Address/Mailing Address 2
City
Zip Code
Home Phone #
Mobile Phone #
Date of birthmm/dd/yyyy
Licensure #
Social Security Number

::::::: PARENT/GUARDIAN INFORMATION (if under 18 years of age)

Father's Last name
Father's First Name
Father's Middle Name
Mother's Last Name
Mother's First Name
Mother's Middle Name
Semester in which I would like to begin:
High School
High School Graduation Date (MM/YYYY)
High School City
Colleges Attended, State and Dates
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I have taken or will take the

::::::: OTHER INFORMATION

Will you live on campus?
Do you have family who have graduated from AB?
If yes, please list name(s) and relationship of family member:
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::::::: APPLICATION SIGNATURE & AUTHORIZATION

My signature authorizes my high school to provide official transcripts and test scores to Alderson Broaddus University.
Signature
Date
I certify that the information provided on this application is complete and accurate to the best of my knowledge. I understand that I am responsible for requesting official transcripts from previously attended institutions (high school and/or colleges and universities) and that such transcripts become property of Alderson Broaddus University and will not be returned to me. I also understand that acceptance to the University is subject to verification of official records sent directly from the institutions I have attended.
Commentsmore details
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