Application for Admission
  • ::::::: PERSONAL INFORMATION

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  • Last Name*last_name
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  • First Name*first_name
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  • Middle Name*middle_name
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  • Suffix*student_suffix
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  • Email*a valid email address
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  • Preferred name/Nickname*preferred_or_nickname
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  • Home Address/Mailing Address*home_address_mailing_address
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  • Home Address/Mailing Address 2*home_address_mailing_address2
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  • City*city
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  • State*state
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  • Zip Code*zip_code
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  • Home Phone #*home_telephone
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  • Mobile Phone #*cell_phone
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  • Date of birth*date_of_birth
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  • Gender*gender
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  • Social Security Number*social_security_number
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  • Marital Status*marital_status
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  • Race*race
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  • Ethnic*ethnic_app
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  • Religion*religion_app
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  • ::::::: PARENT/GUARDIAN INFORMATION

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  • Father's Last name*fathers_last_name
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  • Father's First Name*fathers_first_name
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  • Father's Middle Name*fathers_middle_initial
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  • Father's Suffix*father_suffix
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  • Father's Email*fathers_email
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  • Mother's Last Name*mothers_last_name
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  • Mother's First Name*mothers_first_name
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  • Mother's Middle Name*mothers_middle_name
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  • Mother's Email*mothers_email
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  • ::::::: ACADEMIC INFORMATION

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  • I am applying as a*im_applying_as_a
    Freshman
    Transfer
    Non-Degree Seeking
    Readmit/Former Student
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  • Semester in which I would like to begin:*semester_in_which_i_would_like_to_begin
    Fall 2015
    Spring 2016
    Fall 2016
    Spring 2017
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  • High School*high_school_name
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  • High School Graduation Date (MM/YYYY)*high_school_graduation_date_mm_yyyy
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  • High School City*high_school_city
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  • High School State*high_school_state
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  • Colleges Attended and Dates*colleges_attended_and_dates
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  • I have taken or will take the*i_have_or_will_take_the
    ACT
    SAT
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  • ::::::: MY INTENDED MAJOR - Select only one major, please.

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  • Bachelor's Degree Programs*bachelors_degree_programs
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  • Pre-Professional Programs*pre_professional_programs
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  • Degree Completion Programs*degree_completion_programs
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  • If you chose any music degree program as your intended major, what is your primary performance area?
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  • Music Degree Options*instrument
    Brass (trumpet, horn, trombone)
    Brass (euphonium, tuba)
    Guitar
    Keyboard (piano)
    Keyboard (organ)
    Percussion
    Voice(soprano, alto, tenor, baritone, bass)
    Woodwind (flute, clarinet, oboe, bassoon, saxophone)
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  • ::::::: ATHLETIC & EXTRACURRICULAR INTERESTS

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  • I would like to compete on the following varsity athletic teams (collegiate level):
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  • Men's Athletic Teams*mens_athletic_teams
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  • Women's Athletic Teams*womens_athletic_teams
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  • Extracurricular Activities*i_am_interested_in_the_following_extracurricular_activities
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  • ::::::: OTHER INFORMATION

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  • Will you live on campus?*will_you_live_on_campus
    Yes
    No
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  • May we text you?*may_we_text_you
    Yes
    No
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  • Do you have family who have graduated from ABU?*do_you_have_family_who_have_graduated_from_alderson_broaddus_college
    Yes
    No
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  • If yes, please list name(s) and relationship of family member:*if_yes_please_list_name_of_family_members_and_relationship
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  • ::::::: APPLICATION SIGNATURE & AUTHORIZATION

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  • My signature authorizes my high school to provide official transcripts and test scores to Alderson Broaddus University.
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  • Signature*signature
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  • Date*date
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  • 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.
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