Associates Degree Application Online Form

Please complete each field and click "Submit". Items marked with an asterisk (*) are required. If the web browser is closed prior to submission, the information entered will be lost. It will take approximately 30 minutes to complete the application.

Upon submitting the application, our office will contact you within the next day or two for further information. If you have any questions, please contact the office by calling 1-800-845-3149 or email online@taylor.edu.

You must fill out ALL REQUIRED FIELDS to submit your enrollment successfully.

Please fill out all required(*) fields correctly

Personal Information

First Name

Middle Name/Initial

Last Name

Preferred Name

Date of Birth

Gender

Male
Female

Contact Information

Email Address

Street Address

Address Line 2

City

State/Province:

Zip Code

Country

Phone Number

Demographic Information

Are you a U.S. citizen?

Yes
No

If No, what is your current immigration status?

Are you of Hispanic or Latino ethnicity?

Yes
No

What is your racial background? (Select one or more)

  American Indian or Alaskan Native
  Asian
  Black or African American
  Native Hawaiian or other Pacific Islander
  White

Program Information

Have you previously applied to or attended Taylor University?

Yes
No

If Yes, when?

Which Campus?

  Fort Wayne
  Upland
  Online

To which degree program are you applying?

How did you hear about us?

If other, please indicate the source in this field.

Employment Information

Current Employer

Job Title

Family Information

Marital Status

Do you have children?

Yes
No

If Yes, how many children do you have?

Please indicate "Yes" if you are under 18 years old.

Yes
No

If you are under 18 years old, provide the following information regarding your family:

Father's Name

Father's Phone Number

Mother's Name

Mother's Phone Number

Who do you live with?

If other, state name and relationship

Education Information

I have received a:

High School Diploma
G.E.D. (equivalent diploma)

Name of your high school

The city where your high school is located in

State high school is located in

Date of your high school graduation

Did you take honors courses or advanced placement (AP) courses?

Yes
No

Did you take the SAT or ACT?

  ACT
  SAT
  Both
  Neither

College Transfer Student Information

Have you attended any other colleges?

Yes
No

If yes, list institution(s) attended and dates of attendance

Are you able to re-enter the above institution(s)?

  Yes
  No
  Not Applicable

If No, please explain

Have you ever been dismissed or placed on academic or disciplinary probation?

  Yes
  No
  Not Applicable

If Yes, please explain

Church Information

Name of Regularly Attended Church

Denomination

We have to ask a very simple question to make sure you're human. What colour is the sky?

Online Associates Degree Application