Student Application Form

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 *

Month Day Year
Gender *
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 *
My Products *
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HPU Student Application This form is required to determine eligibility for enrollment at Holy Patriot University.
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Student Application Form

Transcripts

Upload Headshot Below

Non-Discrimination Policy