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Application for Admission

::::::: PERSONAL INFORMATION

Last Name
First Name
Middle Name
Preferred name/Nickname
Home Address/Mailing Address
Home Address/Mailing Address 2
City
Zip Code
Home Phone #
Mobile Phone #
Date of birth
Social Security Number

::::::: PARENT/GUARDIAN INFORMATION

Father's Last name
Father's First Name
Father's Middle Name
Mother's Last Name
Mother's First Name
Mother's Middle Name

::::::: ACADEMIC INFORMATION

I am applying as a
Semester in which I would like to begin:
High School
High School Graduation Date (MM/YYYY)
High School City
Colleges Attended and Dates
0 /
I have taken or will take the

::::::: MY INTENDED MAJOR - Select only one major, please.

If you chose any music degree program as your intended major, what is your primary performance area?
Music Degree Options

::::::: ATHLETIC & EXTRACURRICULAR INTERESTS

I would like to compete on the following varsity athletic teams (collegiate level):

::::::: OTHER INFORMATION

Will you live on campus?
May we text you?
Do you have family who have graduated from ABU?
If yes, please list name(s) and relationship of family member:
0 /

::::::: 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.
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