Answer all questions on the application. Failure to do so may delay or reject your application.

By filing the application, you are certifying that you are the applicant and that all information is true and complete to your knowledge. Your signature and/or an application fee may be requested on forms mailed to you by institutions to which you have applied. Please fill in the appropriate information and then click "submit" at the bottom.

Only participating colleges that do not have their own electronic application and have granted consent for the use of this application will accept this application.

After you submit your application, you should receive a response from the college or university that it has been received. If not, please contact the institution directly by telephone.

To which college are you applying?:
Barry University
Champlain College
Hood College
Kansas Wesleyan University
Midway College
Olivet Nazarene University
Pratt Institute
Slippery Rock University
Spring Hill College

First Name	Initial	Last Name	Social Security Number --
Address
City	State	Zip	Phone () -
			E-mail
Parent or Guardian's Names (Mr., Mrs., Ms., Dr.)
Address (leave blank if same)
City	State	Zip	Parent's Phone () -

Are you a citizen of the United States?	Yes	No	If not, what country?
Answer the following 2 questions only if you are not a U.S. citizen:
City and country of birth
Are you a permanent U.S. resident?	Yes	No
Name, city and state of high school			H.S. Graduation date (month and year) January February March April May June July August September October November December 1995 1996 1997 1998 1999 2000
Standardized Test Scores SAT or SAT I Verbal Math SAT II Subject Score Subject Score Subject Score ACT English Math Reading Science Composite TOEFL (Test of English as a Foreign Language) Score
Applying as a	First time, first year student Transfer student
When do you plan to enter college?	Fall Spring Summer 1997 1998 1999 2000
List other colleges that you have attended, if any:
Date of Birth (Month/Day/Year) / /	Sex:	Male	Female
Optional Information
Race:

Do you plan to live in one of the campus residence halls?	Yes	No
Are you seeking Financial Aid?	Yes	No
Would you like Financial Aid information sent to you?	Yes	No
Career interest (intended major): Undecided Agriculture Preveterinary or veterinary medicine Environmental design Interior design Art (painting, drawing, sculpture) Art history and appreciation Dance Dramatic arts Graphic arts and industrial design Music Photography Biological (Life) Sciences Biochemistry Biology Botany Environmental Science Genetics Marine biology Nutritional sciences Zoology Accounting Business economics Business management and administration Fashion merchandising Hotel/motel and restaurant management International business Management information systems Marketing Operations research Recreation, tourism and travel Advertising Journalism Radio and television Telecommunications Computer science Systems analysis Art education Child development education Elementary education Home economics education Physical education Secondary education Engineering Chemical engineering Civil and transportation engineering Computer engineering Chinese Foreign languages French German Italian Japanese Modern languages Native American languages Russian Spanish General liberal arts and sciences Humanities and social sciences Women's studies Environmental health Gerontology Hospital and health care administration		Varsity Sports interest: None Baseball Basketball Cross Country Football Golf Soccer Softball Tennis Track Volleyball
Personal essay Please write a brief statement on a current event or interest that expresses your beliefs or feelings. If you wish, this statement may be sent separately from this application.
I certify that the information on this application is correct, complete and honestly presented to the best of my knowledge. I understand that withholding information requested on this application or giving false information may make me ineligible for admission to colleges receiving this application. If accepted, I agree to abide by all of the established rules and regulations of the college or university. In compliance with the Family Education Rights and Privacy Act of 1974, member colleges do not provide access to admissions records to applicants, those students who are denied admission, or those students who decline an offer of admission. Institutions participating in College Night are committed to all appropriate Federal and State non-discriminating practices in admission and financial aid. These areas of non-discrimination include race, color, gender, religion, national origin, age, or handicap.

Clear the form.
Send your application to the selected college.