PRINT VERSION OF THE MONMOUTH
COLLEGE APPLICATION - Available in PDF format
Required fields are
show in bold letters below.
ENTRY INFORMATION
Entry Status
(Check one item in each row)
LEGAL
NAME
Prefix
Mr.
Ms.
Legal First Name
Legal Last Name
Middle Initial
Preferred
Name
PERMANENT ADDRESS
Street Address
Address (cont.)
City
State/Province
County
Zip/Postal Code
Country of Citizenship
Home Phone
Cell Phone
Email Address
PRESENT ADDRESS
Present Mailing Address
Present City
Present State/Province
Present County
Present Zip/Postal Code
Present Country
Present Phone
Address Valid Until
PERSONAL INFORMATION
Date of Birth
Age
Marital Status
Social Security Number
Gender
Citizenship
U.S. Citizen
Dual U.S. Citizen
Please specify other country of DUAL citizenship:
U.S. Permanent Resident
Visa
Citizen of:
Alien Registration Number
Other Citizenship (Name
Countries)
Visa Type
If you are not a U.S.
citizen
and you live in the United States,
how long have you been in the country?
Veteran
Yes
No
Religious Affiliation
(optional)
English is my
First
Language
Second
Language
Ethnic Background
The following
information is optional and is requested to help the College fulfill its
reporting obligations to the United States Department of Education.
American Indian
Asian / Pacific
Islander
Black /
Non-Hispanic
Hispanic
/ Latino
White /
Non-Hispanic
Non-Resident
Alien
Will you be an applicant
for financial assistance?
Yes
No
When do you wish to enter
Monmouth College?
Select one:
Spring - January 2009
Fall - August 2009
Spring - January 2010
Please list other colleges
and universities that you have applied or plan on
applying to.
Have you ever been
arrested, indicted or convicted for anything other than
a traffic violation?
No
Yes
If YES, please explain:
FAMILY
BACKGROUND
Father's Name
Address
Home Phone
Cell Phone
Father's Email
Occupation
Employer
Mother's Name
Address
Home Phone
Cell Phone
Mother's Email
Occupation
Employer
Step Parent/Guardian's
Name
Address
Home Phone
Cell Phone
Email
Occupation
Employer
Parents are:
Married Separated Divorced
Hometown Newspaper
How did you first learn of
Monmouth College?
Please list relatives or
friends that have attended Monmouth College:
Name #1
Relationship
Dates Attended
Name #2
Relationship
Dates Attended
ACADEMIC MAJOR
This is important in
college counseling and does not commit you to one in
particular. Please indicate your current preference(s).
First
Undecided
Accounting
Art
Biochemistry
Biology
Biopsychology
Business Administration
Chemistry
Classics
Communication
Computer Science
Economics
Education - Elementary
Education - Secondary
English
Environmental Science
French
History
International Business
International Studies
Management Information Systems
Mathematics
Military Science
Music
Philosophy/Religious Studies
Physical Education
Physics
Political Science
Preprofessional - Architecture
Preprofessional - Dentistry
Preprofessional - Engineering
Preprofessional -
Environmental Science
Preprofessional - Law
Preprofessional - Library Scinece
Preprofessional - Medical
Technology
Preprofessional - Medicine
Preprofessional -
Ministry/Christian Ed
Preprofessional - Nursing
Preprofessional - Occupational
Therapy
Preprofessional - Physical Therapy
Preprofessional - ROTC
Preprofessional - Social Service
Preprofessional - Veterinary
Medicine
Psychology
Public Relations
Sociology/Anthropology
Spanish
Topical Major
Theatre
Second
Undecided
Accounting
Art
Biochemistry
Biology
Biopsychology
Business Administration
Chemistry
Classics
Communication
Computer Science
Economics
Education - Elementary
Education - Secondary
English
Environmental Science
French
History
International Business
International Studies
Management Information Systems
Mathematics
Military Science
Music
Philosophy/Religious Studies
Physical Education
Physics
Political Science
Preprofessional - Architecture
Preprofessional - Dentistry
Preprofessional - Engineering
Preprofessional -
Environmental Science
Preprofessional - Law
Preprofessional - Library Scinece
Preprofessional - Medical
Technology
Preprofessional - Medicine
Preprofessional -
Ministry/Christian Ed
Preprofessional - Nursing
Preprofessional - Occupational
Therapy
Preprofessional - Physical Therapy
Preprofessional - ROTC
Preprofessional - Social Service
Preprofessional - Veterinary
Medicine
Psychology
Public Relations
Sociology/Anthropology
Spanish
Topical Major
Theatre
Third
Undecided
Accounting
Art
Biochemistry
Biology
Biopsychology
Business Administration
Chemistry
Classics
Communication
Computer Science
Economics
Education - Elementary
Education - Secondary
English
Environmental Science
French
History
International Business
International Studies
Management
Information Systems
Mathematics
Military Science
Music
Philosophy/Religious Studies
Physical Education
Physics
Political Science
Preprofessional -
Architecture
Preprofessional -
Dentistry
Preprofessional -
Engineering
Preprofessional - Environmental Science
Preprofessional - Law
Preprofessional
- Library Scinece
Preprofessional - Medical Technology
Preprofessional -
Medicine
Preprofessional - Ministry/Christian Ed
Preprofessional -
Nursing
Preprofessional - Occupational Therapy
Preprofessional
- Physical Therapy
Preprofessional - ROTC
Preprofessional -
Social Service
Preprofessional - Veterinary Medicine
Psychology
Public Relations
Sociology/Anthropology
Spanish
Topical Major
Theatre
Would you like to be
considered for Monmouth's Honors Program?
Yes No
ATHLETIC INTEREST - If
you plan to participate
Baseball
Basketball - Men's
Basketball - Women's
Cross Country - Men's
Cross Country - Women's
Football
Golf - Men's
Golf - Women's
Indoor Track - Men's
Indoor Track - Women's
Outdoor Track - Men's
Outdoor Track - Women's
Soccer - Men's
Soccer - Women's
Softball
Swimming - Men's
Swimming - Women's
Tennis - Men's
Tennis - Women's
Volleyball
FINE ARTS
INTEREST - If you plan to participate
Instrumental
Vocal
Theater
Art
Bagpipes/Drums
Activities and Honors
PLEASE
LIST TWO REFERENCES: (teachers, employers, etc.)
Name
Address
City
State
Zip
Phone
Email
Name
Address
City
State
Zip
Phone
Email
EDUCATIONAL
EXPERIENCE
Have you taken any AP
classes?
Yes No
If yes, how many?
Have you taken any college
courses for credit?
Yes No
If yes, how many?
High School Name
Address
City
State
Zip
Type of School
Private
Public
Graduation Date
Graduation Year
Class Rank
OUT OF
GPA
Guidance Counselor/Advisor
Guidance
Counselor/Advisor's Phone Number
TEST
INFORMATION
ACT Date
ACT Composite
SAT Date
SAT Critical Reading
SAT Math
SAT Writing
Composite
TRANSFER
STUDENTS
Are you currently
attending college?
Yes
No
Cancel Selection
Are you in good standing?
Yes
No
Cancel Selection
Please
list, in chronological order, all schools attended since
high school graduation:
School #1 Name
City
State
Dates Attended
Approximate Semester Hours
GPA
Degree
School #2 Name
City
State
Dates Attended
Approximate Semester Hours
GPA
Degree
School #3 Name
City
State
Dates Attended
Approximate Semester Hours
GPA
Degree
Comments
I hereby certify that the
information on this application is accurate and
complete.*
Yes
No
Monmouth College admits students, awards financial aid, and
administers its academic and extracurricular programs without regard to race, color,
religion, sex or national or ethnic origin.
According to the Jeanne Clery Act, educational institutions
must provide information to all prospective students on how to obtain the
institution's security report. You can access Monmouth College's annual security
report at:
http://department.monm.edu/stuserv/safety-security/index.htm
What you need to do to apply
Students who seek admission to Monmouth College must complete an application.
Applications are available from the college Office of Admission, or you can complete
and submit the online application above . If you
would like us to mail you a paper application, send us an email and include your
name and postal mailing address to admit@monm.edu .
To speak to one of our admission representatives in person, call
1-800-74-SCOTS (1-800-747-2687)