Apply to Ancilla

Please fill out and sign this application. We will contact you shortly about transcripts and other information we may need.

Ancilla College Free Enrollment Application

  • Please provide your full middle name.
  • Indicate any former name(s) under which educational records are listed.
  • Social Security Number (Submitting your Social Security Number (SSN) is not required, and your SSN will not be used to create a student identification number, but it is required to receive certain federal tax benefits. Your SSN is also sometimes helpful to accurately match some records like SAT or ACT test scores.)
  • mm/dd/yyyy
  • (area)555-1212
  • (This is used for government reporting purposes only. No admissions decisions are based on this.)
  • mm/dd/yyyy
  • (Currently attending or the last one you attended)
    (check all that apply)
    (When do you plan to start at Ancilla as a student?)
  • Parent, guardian, spouse, etc.
  • College Transcripts

    List the full name of all colleges, universities, technical schools, military training facilities, or other institutions you are currently or have attended (other than high school). List the most recent school first. If you have not attended any post-secondary institution, write "none." (Note: Federal financial aid rules require a complete list. Failure to indicate every institution attended may result in denial of admission.)
  • (date you requested transcripts)
  • (date you requested transcripts)
  • All college transcripts are required Please make sure to have every college and university you have preciously attended send official transcripts as soon as possible to: Office of Admissions, Ancilla College PO Box 1 Donaldson, IN 46513
    Reporting ethnic data is required by Indiana and federal civil rights laws.
    (service in a branch of the US military)
    (Choose all that apply)
    May we release your telephone number and email address to student directories and college publications?
  • Accuracy statement

  • I certify that the information provided on this application is accurate and true. I understand that falsified information may result in denial of admission and termination of enrollment at Ancilla College. I agree to abide by the policies, rules and regulations of Ancilla College. I authorize my high school, and any other educational institutions attended, to furnish all academic and personal information information requested by the Ancilla Admissions Office. I authorize Ancilla College to report my academic progress to my counselor and program adviser for the purposes of curriculum and instructional development. I authorize the Office of Financial Aid to release appropriate information on my academic progress, including grades, and the amount of any aid and award I receive to state, federal and other agencies, institutions, and others involved in providing funds for my education.
  • Please type in your full name. Use your full name that matches your signature above.

 

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