Student Application Form
Please complete the form below to apply for enrollment at Holy Patriot University. Any questions, contact us at info@holypatriot.university
Student Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
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Month
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Day
Please select a year
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1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Mobile Number
*
Phone Number
*
Church Background / Denomination
*
Emergency Contact / Relationship / Phone Number
*
High School
*
High School Location
*
High School Graduation Date
*
High School GPA
*
ACT / SAT Score
Previous College(s) / University Attended
College Grade / Classification
College GPA
Transcripts
Attach your transcripts below or email to info@holypatriot.university
High School Transcript
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College Transcript
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What are you educational goals?
*
Degree of Interest
*
Associates Degree
Bachelor's Degree
Master's Degree
Doctorate Degree
Degree of Interest
*
Extracurricular Interest
*
None
Baseball
Softball
Basketball
Soccer
Track & Field
Cross Country
Golf
Tennis
Volleyball
Weightlifting
Theater / Drama
Other
Start Date (Fall 2022, Spring 2023, Etc.)
*
Upload Bio and Related Experience
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Non-Discrimination Policy
HPU does not discriminate on the basis of nationality, ethnic origin, age, or gender. We guarantee the rights and privileges, and the availability of programs and activities to all students of the University
Please verify that you are human
*
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HPU Student Application
This form is required to determine eligibility for enrollment at Holy Patriot University.
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