Kentucky Undergraduate Application

Please fill out the following form to apply to McKendree University!

    

Your Information
 
First Name    Middle Name    Last Name    Suffix
     
E-mail

Maiden Name (if applicable)
Social Security Number
 
Date of Birth
Gender
 
MAILING ADDRESS
 
Street Address
Address Line 2
 
City
State / Province / Region
 
Postal / Zip Code
Country
 
County
 
 
Home Phone Number (with Area Code)
 
 
Work Phone Number (with Area Code)
 
 
Cell Phone Number (with Area Code)
 
 
Emergency Contacts
 
Primary Contact
 
Last Name
First Name
 
Relation
If "Other", please specify:
 
Street Address
Address Line 2
 
City
State / Province / Region
 
County
Postal / Zip Code
 
Home Phone Number
Cell Phone Number
 
Preferred Email
 
 
Secondary Contact (Optional)
 
Last Name
First Name
 
Relation
If "Other", please specify:
 
Street Address
Address Line 2
 
City
State / Province / Region
 
County
Postal / Zip Code
 
Home Phone Number
Cell Phone Number
 
Preferred Email
 
 

 
EDUCATIONAL BACKGROUND
 
Do you have a high school diploma or GED?
 
 
Date Graduated or Completed (MM-YYYY)
 
 
Name of High School
 
Street Address
Address Line 2
 
City
State / Province / Region
 
Postal / Zip Code
Country
 
 
 
 
Example:
 
 
Have you attended McKendree University before:
 
 
If Yes, please specify the dates of attendance.
 
 
Are you on active duty with the armed forces?
 
 
Are you a veteran?
 
 

 
 
AS - Business Administration
 
BS - Computer Information Systems (CIS)
 
BS - Information Technology
 
BBA – Accounting
 
BBA - Business Administration
 
BBA – Management
 
BBA – Marketing
 
BBA - Human Resource Management
 
Non-Degree Seeking
 
 
 
 
Accounting
 
Management
 
Marketing
 
Computer Information Systems
 
Proposed Enrollment
 
 
Location
 
 
How did you hear about McKendree?
 
Friend
 
Professor
 
Education Fair
 
Employer
 
Mailing from McKendree
 
McKendree Website
 
Billboard
 
Internet Search
 
Radio
 
Facebook
 
Other
 
If you chose Other, please specify.
 
 
Has either parent completed a four-year degree
 
 

 
 
Are you a United States citizen?
 
 
If No, please describe your status
 
 
Nonresident alien
 
Resident alien (and other eligible non-citizens)
 
Are you a Hispanic or Latino?
 
 
 
What is your race?  Check all that apply.
 
American Indian or Alaska Native
 
Asian
 
Black or African American
 
Native Hawaiian or Other Pacific Islander
 
White
 
American Indian or Alaska Native
 
Asian
 
Black or African American
 
Native Hawaiian or Other Pacific Islander
 
White
 
Religious Affiliation/Denomination
 
 
Were you ever convicted of a felony?
 
 
If Yes, please explain.
 

 
STATEMENT OF UNDERSTANDING
 
 
 
 
 
 
 
Date (MM-DD-YYYY)
Initials