Online Associates Degree Application

First Name

Middle Name/Initial

Last Name

Preferred Name

Date of Birth

Gender

Email Address

Street Address

Address Line 2

City

State/Province:

Zip Code

Country

Phone Number

Are you a U.S. citizen?

If No, what is your current immigration status?

Are you of Hispanic or Latino ethnicity?

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

Have you previously applied to or attended Taylor University?

If Yes, when?

Which Campus?

To which degree program are you applying?

How did you hear about us?

If other, please indicate the source in this field.

Current Employer

Job Title

Marital Status

Do you have children?

If Yes, how many children do you have?

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

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?

I have received a:

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?

Did you take the SAT or ACT?

Have you attended any other colleges?

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

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

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

Name of Regularly Attended Church

Denomination