Fill out our free and easy application to become a Bethany College Swede. Required fields are marked. Let us know if you need any assistance!

Contact Information

* First Name:
Nickname:
* Middle Initial:
* Last Name:
* Email:
* Cell Phone:
Home Phone:
* Address:
* City:
County:
* State:
* ZIP:
* Country:

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Student Information

* Gender:
* Birthdate: Month: Day: Year:
* SSN:
Marital Status:
What is your religious affiliation?
Where do you attend religious services?
What is that organization's address?

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Citizenship

* Are you a U.S. citizen? YesNo
Other Citizenship:
Visa Status:
If you are not a U.S. citizen and are already in the U.S., what is your status?
Other:

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U.S. Department of Education Demographic Information

The U.S. Department of Education has established new guidelines for collecting and reporting aggregated ethnic and racial data. In order to respond to this request, we ask you to answer the following questions.
Do you consider yourself to be Hispanic, Latino, or of Spanish origin?
YesNo
In addition, please select one or more of the following racial categories to describe yourself.

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Bethany Enrollment Information

* Desired Entry Date: Year:
* Entering As:
Transfer Year:
Potential Major:

How did you first become interested in Bethany College?
Have you ever been on campus? YesNo
If yes, for what activity?
Is Bethany your first choice for college?
If no, what choice level?
List three other colleges or universities you have applied to.


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Current Enrollment

* School Name:
* Graduation Year:
Address:
Phone:
Advisor:
School Type: PublicPrivateParochial
GPA:
ACT/SAT: Score: ACTSAT

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Secondary Schools

Freshmen Applicants: please list all other secondary schools, summer schools, programs, or institutes you have have attended since 8th grade.

Transfer Applicants: please list high schools and dates of attendance.

You can request transcripts online.

Name City, State, ZIP Dates Attended

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Other Colleges & Universities

Please list all colleges or universities attended and have official transcripts forwarded from each.

Name State Dates
Attended
Credits
Earned
Degree
Received

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Financial Aid & Scholarships

* Have you been convicted of a felony?
YesNo
Do you intend to complete the Free Application for Federal Student Aid (FAFSA)?
YesNo
Would you like to be considered for an academic, art, athletic, music, or theatre scholarship? YesNo

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Your Involvements

Co-Curricular Activities

Please list your extracurricular and community involvements. Include specific accomplishments such as musical instruments played, committee positions held, etc. Also note whether you would like to continue the activity at Bethany. Please wait to enter athletic involvements until the next section.

Activity:
Year of Participation: FrSoJrSrPost-Grad
Position, honors, etc.:
Would you like to continue at Bethany? YesNo
Activity:
Year of Participation: FrSoJrSrPost-Grad
Position, honors, etc.:
Would you like to continue at Bethany? YesNo
Activity:
Year of Participation: FrSoJrSrPost-Grad
Position, honors, etc.:
Would you like to continue at Bethany? YesNo
Are there any other memberships, achievements, awards, honors, special recognitions, etc.?

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Athletics

Please list your athletic involvements. Include the positions played, honors received, etc. Also note whether you would like to continue the activity at Bethany. Visit Bethany's athletic website for our current athletic programs. (To enter non-athletic involvements, see the previous section.)

Sport:
Year of Participation: FrSoJrSrPost-Grad
Position, honors, etc.:
Would you like to continue at Bethany? YesNo
Sport:
Year of Participation: FrSoJrSrPost-Grad
Position, honors, etc.:
Would you like to continue at Bethany? YesNo
Sport:
Year of Participation: FrSoJrSrPost-Grad
Position, honors, etc.:
Would you like to continue at Bethany? YesNo
Are there any other athletics memberships, achievements, awards, honors, special recognitions, etc.?

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Family Information

Parents

Marital Status: MarriedSeparatedDivorced

Father

Name:
Is he living? YesNo
Address:
Phone:
Email:
Occupation:
College/University Attended:
Graduation Year:

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Mother

Name:
Is she living? YesNo
Address:
Phone:
Email:
Occupation:
College/University Attended:
Graduation Year:

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Other Caretaker

If not your parents, with whom do you make your permanent home?

Name:
Relationship:
Address:
Phone:
Email:
Occupation:

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Terms of Application

I affirm that the information provided in this application is true and complete. I understand that providing false information, or failing to provide material information, may be grounds for rejecting my application or for revocation of admission or enrollment. I authorize Bethany College to investigate all statements on this application and documents submitted in support of my application. I authorize any reference, including any schools I have previously attended, to provide to Bethany College all academic and disciplinary information about me and I release them from all liability for providing such information.

Bethany College does not discriminate on the basis of sex, abilities, age, race, religion, sexual orientation, national or ethnic origin, or veteran status in the recruitment and admission of students, the recruitment and employment of faculty and staff, and the operation of any of its educational programs and activities, as specified by federal laws and regulations. This school is authorized under Federal law to enroll nonimmigrant students.

You will receive written confirmation of your application via U.S. mail within one week. If you I do not, I will contact Bethany College for assistance.

By submitting this form, I am giving Bethany College permission to complete my admissions process, and contact me via phone, text, and email communications.

I understand and accept these terms.
Please enter the characters below.
captcha

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Contact

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