The Village Program Interest Form
This form must be completed by anyone interested in admissions to Paul Quinn College via the Village Program. The Village Program is Paul Quinn’s groundbreaking admissions philosophy which seeks to eradicate intergenerational poverty by providing opportunity to communities and generations that have traditionally been left behind. As one of the most innovative colleges in America and the creator of the Urban Work College Model, Paul Quinn understands that real change requires bold solutions to some of our nation’s most pressing issues. The revolutionary Village Program expands Paul Quinn’s assault on poverty by allowing every admitted Pell Grant student with a 3.0+ GPA to select two (2) members of their family to begin the college process with them at Paul Quinn.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please check off all the items listed below that you currently have access to:
*
Internet
Laptop
Desktop Computer
iPad or other similar tablet
Mobile Smart Phone
Hotspot
Other
Admitted Student Information
In the sections below, please input the current Paul Quinn student's information. Without this information we cannot transfer their admission status to you. Please note that the admitted student does need to have a 3.0+ GPA and should be Pell Grant eligible in order for their admission status to be transferable to you.
Admitted Student's PQC ID Number
*
Admitted Student's First Name
*
Admitted Student's Last Name
*
Admitted Student's Email Address
*
example@example.com
Admitted Student's Phone Number
*
Please enter a valid phone number.
Have you submitted an online WE/Me Application?
*
Yes
No
I'm Not Sure
Please indicate your current status below:
*
First Time Freshman: finished high school but never attempted college credits
Transfer Student: attempted college credits at an institution other than Paul Quinn
Former Student: attempted college credits at Paul Quinn in the past
International Student: citizens from another country who have a documentation to study in the United States
Please indicate the last year you attended school:
*
Please indicate any concerns or fears you have as it pertains to go going back to school. Being specific here will help us understand how to best support you.
Submit
Should be Empty: