Coker College : Admissions Information Request

Admissions Information Request

Take a moment to tell us about yourself. We are glad that you are interested in Coker College and would like to get to know you better. Please fill out this brief form. Thank you!

> Personal Information
First Name	Please enter your first name.
Middle Name	Please enter your middle name.
Last Name	Please enter your last name.
Preferred Name
Street Address	A value is required.
City	A value is required.
State	Please select an item.	Zip Code A value is required.
Country (only if outside the US)
Telephone	A value is required.Invalid format. (ex. xxx-xxx-xxxx)
E-mail Address	An email address is required.Please type a valid email address.
Date of Birth (MM/DD/YYYY)	//
> High School Information
High School
Graduation Year
Class Rank		GPA
SAT/ACT Scores
> College Information
Major of Interest	Please select an item.
Major of Interest (additional)
Will you enter Coker as Freshman or as a Transfer?	Freshman Transfer	If a Transfer, from what college?
Will you enter Coker as Freshman or as a Transfer?
Semester you'd like to start at Coker:
If you are interested in playing a sport at Coker, please indicate which:	Men's Sports Baseball (Varsity) Baseball (JV) Basketball Cross Country Golf Soccer Tennis	Women's Sports Basketball Cheerleading/Dance Team Cross Country Soccer Softball Tennis Volleyball
Which of the following would you like to learn more about?	Academic Advising Cultural Events Intramural Sports Religious Life Student Advisory Committees	Student Government Student Performances Student Publications Student Service Organizations Study Abroad
Have you visited Coker College?	Yes No, but I would like to

Coker College does not discriminate on the basis of race, color, creed, national origin, religion, ethnicity, gender, or disability in the areas of admissions, employment, financial aid, or educational services. While we may ask for personal information on our application such as race, ethnicity, gender, religion, county of citizenship, or marital status, this information is voluntary and will be sued for reporting purposes only. This information will not be used as a factor in the admissions process or used in a discriminatory fashion.

Office of Admissions | 300 E. College Ave. | Hartsville, SC 29550 | Phone: 1-800-950-1908
Fax: 843-383-8056 | admissions@coker.edu