Application for Admission

To complete your application:
(1) Provide complete and accurate information as requested on the application.
(2) Print application and mail it to the address given below.
(3)Attach a check or money order for $35 to cover the non-refundable application fee.
(4) Attach a copy of an identification card.
(5) Forward official high school or college transcripts to Judson College.


Proposed Entry Date

Name

Preferred Name

Social Security Number Date of Birth

Have you attended Judson previously?Yes No

If so, dates

Other name(s) under which you were registered or under which transcripts have been sent

Home Mailing Address:

Street, Route, or P.O. Box

City State Zip Code

Home Phone E-mail

Fax

Country of Residence

Current Occupation

Job Title

Place of Business

Address
City State Zip Code
Business Phone

Spouse's Name (if applicable)
Occupation Place of Business

Phone

Religious/Church Preference

Please give the name of the institution, location and dates attended for each school

High School or GED

College(s) attended (if any)

Distance Learning Program Applicants

What degree program are you interested in? B.A. B.S. B.Min.

What is your proposed major?

What is your proposed minor?

Approximate prior college credit semester hours quarter hours

Approximate credit from standardized examinations (CLEP, etc.)

Prior major minor

List any special learning experiences you may have had in association with work, community service, travel, hobbies, or study that you have undertaken.

How did you learn about the Distance Learning Program?

Admission is granted to qualified applicants without regard to race, creed, national or ethnic origin, or age.

I certify that the information on this application is complete and accurate.

Signature___________________________________________ Date___________

Send completed materials to:

Distance Learning Program
Judson College
302 Bibb Street
Marion, AL 36756
Fax (334) 683-5158
(334) 683-5110
(800) 447-9472

When all requested materials have been received, you will be notified of your of your admission status.

Admission is granted to qualified applicants without regard to race, color, religion, gender, national or ethnic origin, disability, or age.

FOR DISTANCE LEARNING OFFICE USE ONLY

___/___/___ Application ___/___/___ Application fee

Transcripts:

___/___/___ ______________________________________
___/___/___ _______________________________________
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Status: ___________ Date of action ___/___/___

Authorized by ______________________________

Comments __________________________________________________

___/___/___ Letter sent notifying student of status.