Adult & Graduate Studies Application

Mars Hill University Adult Studies

Adult Undergraduate Application
Contact Information
Full Name*

First NameMiddle NameLast Name
Maiden Name, if any.
Maiden name
What mode of communication do you prefer from us? (choose all that apply)

EmailPhone callsText Messaging
Cell Phone *
Numbers only, no hyphens
Work or Home Phone *
Numbers only, no hyphens
Permanent Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
E-mail*
Date of Birth*

MonthDayYear
Additional Information
Social Security Number (Numbers only, no hyphens)*
(I am providing my social security number on this form with the understanding it will be used only for this institution's record keeping and data processing operations and for official enrollment reporting.)
Are you a U.S. citizen?*

YesNo
Employer*
Military Affiliation*
Please choose what best describes you
Military Occupational Specialty?
Branch of Service?
Rank while in service?
The following information is requested for statistical purposes only.
Are you Hispanic/Latino?
Select one or more of the following races:

American Indian/Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
Did either of your parent(s) or legal guardian(s) graduate from a four-year college or university?*
Gender*
Marital Status*
Religious Affiliation - Denomination
Have you ever been convicted of a felony? If, "yes", please explain:*
List any health factors or special needs that should be called to our attention:*
Emergency Contact Information
Your Cell Phone number *
Numbers only, no hyphens
Check here if you do not have a cell phone for use in notification of an emergency

no cell phone
Emergency Contact Name (spouse, parent, or other family member)*
Contact's Relationship to You*
Emergency Contact's Cell Phone Number (or best number for reaching contact in an emergency) *
Numbers only, no hyphens
Registration Information
Interested Entry term*
Interested entry year*
Applicant Type*
Your Educational Data

Note: It is your responsibility to have all official high school and college transcripts and other required forms forwarded to the Adult & Graduate Studies Office at Mars Hill University.
High School Attended*
High School City and State*
High School Graduation Year*
If you have previously attended Mars Hill University, please list years you attended and name used while enrolled.
Please list ALL colleges, Universities and Community Colleges you have ever attended, and the degree you earned (if any) at that institution.
Your Future at Mars Hill University

Tell us your plans!
I intend on going to school...*
How many hours per semester do you plan on taking?
Do you plan on using Financial Aid?*

YesNo
What is your anticipated major?*

Business Management (100% online)Criminal Justice (100% online)Psychology (100% online)Social Work (seated and online options available)Teacher Education-Add-on licensureI am a temporary/visiting student (I am attending another college/university full-time)Interest Only (Interested in enrolling in a non-degree seeking capacity)
If you already have a Bachelor's degree, and are coming back for an add-on licensure, which licensure will you be pursuing?*

Academically/Intellectually Gifted (AIG) (K-12) - Add-On Only *SUMMER TERM ONLY*Reading Specialist (K-12) - Add-On Only
Items we need to process your application:

To be processed, your application must include:

1. Official High School Transcript(s) and GED Scores (if applicable)
2. Official College Transcript(s) (if applicable)

Preferred method of transcript receipt is through www.Parchment.com, but can also be mailed via USPS to:

Mars Hill University
Admissions Office
Box 6663
Mars Hill, NC 28754

Mars Hill University does not discriminate on the basis of race, sex, religion, creed or handicap in the operation of any aspect of the college.

Mars Hill University is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools National Council for Accreditation of Teacher Education Council on Social Work Education
Do you hold a current NC Teacher Licensure?

YesNo
If "Yes", tell us your Licensure area
How did you learn about Mars Hill University's Adult & Graduate Studies program?*

Education FairTelevisionRadioFriend/Family memberMy employerDrove By/Live in the AreaGoogle AdOnline SearchI am alumni/former student of MHUA specific person from MHU told me about AGSThe transfer counselor at my school
If you have an application code, please list it below:
Should be Empty:

Mars Hill University Adult Studies

Contact Information

Additional Information

Emergency Contact Information

Registration Information

Your Educational Data

Your Future at Mars Hill University

Items we need to process your application: