Online Application for Admission Day Program Freshman or Transfer Applicants Only
* = Required field
*I am applying for admission to Coker College for: Year 2007 2008 2009 2010 Term Fall Spring Summer
*Admission Type Early Admission Regular Admission
*Residence Status Boarding Non-Boarding
*Academic Status Freshman Not degree seeking Transfer
PERSONAL INFORMATION
*Title Miss Mr. Mrs. Ms.
*First Name
Middle Name
*Last Name
*Nickname
*Sex Female Male *Ethnic Origin African-American Native American Asian/Pacific Islander Hispanic Non-Resident Alien White *US Social Security Number or "none" *Date of Birth: Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year (4 digits)
Current Mailing Address
*Street
*City
*US State/Canadian Province (Not Applicable) Alabama Alaska Alberta Arizona Arkansas Armed Forces/Africa, Europe Armed Forces/Americas Armed Forces/Pacific British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Foundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territory Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory *Zip/Postal Code
*Country of Residence (Not shown) Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Ashmore & Cartier Australia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Britain British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkino Fasso Burma Burundi Cambodia Cameroon Canada Canal Zone Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islas Malvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern & Antarctic Lands Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea - Bissau Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Iraq-Saudi Arabia Neutral Zone Ireland Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Christopher (Kitts) & Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Africa South America South America Soviet Union Spain Spartly Islands Sri Lanka Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Upper Volta Uruguay Uzbekistan Vanuatu Vatican City Venezuela Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen - Aden Yemen - Sanaa Yemen, Republic of Yugoslavia Zaire Zambia Zimbabwe Unknown
Permanent Mailing Address (if different from Current Mailing Address; if the same, type "same") *Street *City
*Telephone
E-mail (complete address or "None")
Country of Citizenship United States (Not shown) Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Ashmore & Cartier Australia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Bassas da India Belarus Belgium Belize Belva, Republic of (Palau) Benin Bermuda Bhutan Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil Britain British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkino Fasso Burma Burundi Cambodia Cameroon Canada Canal Zone Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands-Islas Malvinas Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern & Antarctic Lands Gabon Gambia Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea - Bissau Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Iraq-Saudi Arabia Neutral Zone Ireland Israel Italy Ivory Coast Jamaica Jan Mayen Japan Jersey Johnston Atoll Jordan Juan de Nova Island Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands, Republic of Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Midway Island Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Christopher (Kitts) & Nevis Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & The Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Africa South America South America Soviet Union Spain Spartly Islands Sri Lanka Sudan Surinam Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Upper Volta Uruguay Uzbekistan Vanuatu Vatican City Venezuela Venezuela Vietnam Wake Island Wallis & Futuna Islands West Bank West Indies Western Sahara Western Samoa Yemen - Aden Yemen - Sanaa Yemen, Republic of Yugoslavia Zaire Zambia Zimbabwe Unknown Dual Citizen? No Yes. If yes, what country?
Religion Agnostic / Atheist Apostolic Assembly of God Baptist Buddhist Christian Christian Scientist Church of Christ Church of God Episcopal Greek Orthodox Hinduism Interdenominational Jehovah's Witness Jewish LDS (Mormon) Lutheran Methodist Muslim Nazarene Not listed Pentecostal Presbyterian Protestant Roman Catholic Seventh Day Adventist (optional)
Education
Please list the high schools, preparatory schools, colleges, universities and other institutions of higher learning you have attended/are attending. (Please ensure that official transcripts are sent to the Coker College Admissions Office)
*Name of Institution
City, State, Country
*Dates Attended
Name of Institution
Dates Attended
Name of Your High School Counselor
High School Counselor Phone Number
*Date of High School Graduation Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year (4 digits)
SAT Scores: Verbal Math
ACT Score (composite):
Did you have your scores sent to Coker College? Yes No
Do you plan to retake the SAT or ACT? Yes, When? (month/year) No
TOEFL Score:
Do you plan to retake the TOEFL? Yes—When? (month/Year) No
For Transfers Only
Are you eligible to return to the last college/university you attended? Yes No—When will you be eligible (month/year)
Have you ever been dismissed or placed on probation? Yes No
If yes, please explain:
Fields of Study
Career Choice(s)
Please check the academic program(s) in which you are interested:
Communication
Undecided
Specializations
1) Art Biology Business Chemistry Communications Computer Science Criminology Dance Education English French History Mathematics Music Musical Theater Not Offered Physical Education Political Science Psychology Sociology Social Work Spanish Theater Undecided Unknown
2) Art Biology Business Chemistry Communications Computer Science Criminology Dance Education English French History Mathematics Music Musical Theater Not Offered Physical Education Political Science Psychology Sociology Social Work Spanish Theater Undecided Unknown
(Hold down the [Ctrl] key and click once to select multiple interests.)
Family Information
*Father's/Guardian's Title Admiral Ambassador Brig. General Brother Capt. Cmdr. Congressman Congresswoman Col. Dean Dr. Ensign Father General Honorable Judge Justice Lt. Cmdr. Lt. Lt. Cmdr. Lt. Col. Lt. General Maj. Maj. General Miss Mr. Ms. Professor Rabbi Rear Adm. Rep. Rev. Senator Sgt. Sr. Vice Adm.
*Father's/Guardian's First Name
Father's/Guardian's Middle Name
*Father's/Guardian's Last Name Day Phone
Employer Position
College & Degree (if applicable)
*Mother's Title Admiral Ambassador Brig. General Brother Capt. Cmdr. Congressman Congresswoman Col. Dean Dr. Ensign Father General Honorable Judge Justice Lt. Cmdr. Lt. Lt. Cmdr. Lt. Col. Lt. General Maj. Maj. General Miss Mr. Mrs. Ms. Professor Rabbi Rear Adm. Rep. Rev. Senator Sgt. Sr. Vice Adm.
*Mother's/Guardian's First Name
Mother's/Guardian's Middle Name
*Mother's/Guardian's Last Name Day Phone
*Communication for parents/guardian should be mailed to Parent Guardian
Parent/Guardian Mailing Address (if different from yours)
Brothers and sisters (name, age, education)
Relatives & friends who have attended or are attending Coker College (name, relationship, year graduated)
General Information
List by year your extracurricular, athletics and community actives, and academic honors.
List your hobbies and work experience.
List any activities or intercollegiate sports in which you would like to participate.
Hometown newspaper
To what other schools have you applied or plan to apply?
Have you visited Coker College's campus? Yes No If no, when would you like to schedule a visit? Date(s)
Financial Aid/Scholarships
*Will you need financial assistance? Yes No
Do you wish to apply for an academic scholarship? Yes No
Do you wish to apply for an athletic scholarship? Yes No
Do you wish to apply for a creative arts scholarship? Art Dance Music Theater
Are you and the parent(s) with whom you reside legal residents of South Carolina? Yes No
Applicant, please read
To the best of my knowledge, the information provided in this application is complete and accurate. I agree to accept the regulations set forth in the Coker College catalog regarding academic standing, attendance, personal conduct and other matters, and to conduct myself in a manner that will reflect positively on the Coker College community. I understand that I may be requested to submit a 250-500 word essay and/or additional recommendations as part of the application process. I accept that submitting this application represent my signature.
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