Application for Admission

**U.S. residents only, international students click here**

Office of Admissions 1-800-950-YORK

York, Nebraska

Personal Information:

* Denotes required fields
First: * Middle: *
Last: *
Preferred Name: *
Social Security #: * Gender (M/F): *
Street Address: * Marital (M/S): *
City: * State: * Zip: *
County (NE Residents Only):
Phone Number: *
Other Phone Number:
Email:
Birth Date: * Religious Preference: *
Church you attend:
Ethnic Group (pick one): American Indian or Alaskan Native
African American/Black Caucasian/White
Asian or Pacific Islander Hispanic
Citizenship - Are you a citizen of the United States? (Y/N): *
Parents Information:
Father's Name:
Street Address:
City: State: Zip:
Phone Number:
Occupation: York Alum (Y/N):
Mother's Name:
Street Address:
City: State: Zip:
Phone Number:
Occupation: York Alum (Y/N):

Enrollment Information:

Term of enrollment: Fall Spring Summer
Year * Intended Major: *
Status (First-time Freshman / Transfer): *
If transferring, college classification:
Freshman Sophomore Junior Senior
Plan to enroll (Full-time / Part-time): *
Housing (On-Campus / Off-Campus): *
Do you plan to participate in collegiate athletics? (Y/N): *
Sport:
Do you plan to file for financial aid? (Y/N): *

Education Information:

Name of high school: *
City/State: High School GPA:
Date of graduation (mm/yy): *
ACT or SAT composite score (or the date you plan to take it): *
Home schooled grades: 9 10 11 12
GED (Y/N): Score:
College(s) attended: LIST MOST RECENT FIRST
College-1:
City/State:
From (mm/yy): To (mm/yy): GPA:
Number of Credits (completed): In progress:

College-2:
City/State:
From (mm/yy): To (mm/yy): GPA:
Number of Credits (completed): In progress:

College-3:
City/State:
From (mm/yy): To (mm/yy): GPA:
Number of Credits (completed): In progress:

College-4:
City/State:
From (mm/yy): To (mm/yy): GPA:
Number of Credits (completed): In progress:

Has a secondary school, college, or university dismissed you for any reason? (Y/N) *
Have you been convicted of any crimes other than minor traffic violations? (Y/N): *
If you answered "yes" to either of the last two questions, please send in a brief explanation.

Additional Information:

How did you hear about York College?
Alumnus of York College Current Student
Friend Guidance counselor Internet/media Church Camp Mail from York College
Publication about colleges/universities Minister Relative Other
Have you visited our campus before? (Y/N): *
If "yes", for what event(s)?
When?

Personal Statement:

Please compose an essay (at least one paragraph) stating why you are interested in enrolling at York College. *

IMPORTANT - PLEASE READ AND INITIAL:

One of the aims of York College is to maintain and promote Christian standards of living. In all matters pertaining to personal conduct, students are expected to behave as responsible citizens in a Christian community. Your application for admission to the institution implies acceptance of the objectives and regulations of the College. Any person who enrolls in the College is expected to support the spirit of the College and its policies. In matters of discipline, procedures are clearly outlined in the Student Handbook. The York College administration reserves the right to dismiss a student whenever, in their judgment, the general welfare of the College seems to require such action.

The information furnished in this application is true and complete. I will commit myself to upholding the ideals of York College and will personally maintain the highest moral, spiritual, and academic standards.
Initials of applicant: * Date: *

**York College in Nebraska admits students without regard to race, color, gender, religion, disability, national or ethnic origin.**

Admissions:

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