APPLICATION FOR
ADULT DEGREE PROGRAM (ADP)
ADMISSION

   
  Complete the form and click next at end of form (no application fee required)
 
Double check all spelling and be as complete as possible.   
 
 

Personal Data
Your Full Legal Name:
  
  Last Name (Family Name or Surname) First Name Middle Name Suffix
  
  First Name you prefer to be called Previous Last Name(s) Title

Date of Birth:      Gender:   Male     Female
  Month Day Year  

U.S. Social Security Number:   
     (This is a secure server, your personal information will be safe)

E-Mail Address:      FAX number:   
  (If available)   (If available)

Home Address:
 
 Number and Street City State Zip Code Country (if not USA)

Phone Numbers:  
   Home Phone Cell Phone (if available) Work Phone (if available)

Mailing Address: (if different from Home Address)
 
 P.O. Box or Number and Street City State Zip Code Country (if not USA)


Your Religion:  

Nation of Citizenship:           Nation of Birth:  
  If you are not a U.S. Citizen, indicate your U.S. Immigration Status:
     Permanent Resident with Green Card
     International Student
     Other    

Ethnicity:
 Check w?ich one applies. Your response is voluntary and will be used in a nondiscriminatory manner consistent with applicable civil rights laws
  Black or African American Native American or Alaskan Native Asian or Pacific Islander
  Hispanic White/Caucasian Other/Unknown


Enrollment Information

Have you applied to Southwestern Adventist University before?     Yes     No
Have you attended Southwestern Adventist University before?     Yes     No

The Adult Degree Program of Southwestern Adventist University is a degree completion program with 24 majors and offers several undergraduate degrees which include a two-year Associate of Science and three different four-year Bachelor degrees:   Bachelor of Arts (B.A.), Bachelor of Science (B.S.), and Bachelor of Business Administration (B.B.A.).   The university also offers teacher certification (both elementary and secondary) for students who have previously completed a baccalaureate degree.

What program do you wish to pursue?

Financial Aid:
  Will you be applying for Financial Aid?   (U.S. Citizens and U.S. Residents may be eligible for Financial Aid)   Yes     No
  Will you be applying for benefits under the G.I. Bill?   (U.S. veterans and dependents) Yes     No


Academic History
Which one of the following academic classifications best ? applies to you at this time?
  Not Graduated from High School
  Graduated from High School, no college credit earned
  College Freshman (1−12 sem hrs)
  College Freshman (13−23 sem hrs)
  College Sophomore (24−55 sem hrs)
  College Junior (56−89 sem hrs)
  College Junior (56−89 sem hrs) with a previously earned two-year college degree
  College Senior (90+ sem hrs)
  College Senior (90+ sem hrs) with a previously earned two-year college degree
  Already have a four-year college degree

Indicate the tests you have taken:   (Check all that apply)
  SAT (Scholastic Aptitude Test) ACT (American College Test)
  CLEP (College Level Exam Program) GED (General Education Development)
  Michigan Test of English TOEFL (Test of English as a Foreign Language

High School (Secondary Education Level)
?  
 Name of High School (whether you graduated or not):
      
     City        State or Country
 Which of the following best applies to you?
  Graduated from High School Year:  
  Will graduate from High School Year:  
  Passed the GED or a state high school equivalency test   Year:  
  Will take the GED or a state high school equivalency test   Year:  
  Will not complete High School nor take GED

List each College or University you have attended   (List each school one time only):
?td> School
 
 School City State or Country Degree(s) earned Dates of attendance
 
 School City State or Country Degree(s) earned Dates of attendance
 
 School City State or Country Degree(s) earned Dates of attendance
 
City State or Country Degree(s) earned Dates of attendance
 
 School City State or Country Degree(s) earned Dates of attendance
 
 School City State or Country Degree(s) earned Dates of attendance

Please ask all Colleges and Universities you have attended to send official transcripts to:

ADP Office
Southwestern Adventist University
Keene, TX 76059

If you have completed less than 12 college hours, we will also need an official transcript from the last High School you attended.
If you took the GED, then we will also need an official GED Test Report


Personal Conduct
  In High School or College have you been placed on probation for disciplinary reasons?   Yes No
  In High School or College have you been suspended for disciplinary reasons? Yes No
  In High School or College have you been dismissed for disciplinary reasons? Yes No
 
  Have you been convicted of a misdemeanor? Yes No
  Have you been convicted of a felony? Yes No
          If you have been incarcerated, last release date:    
   Month  Year
 
  Have you used tobacco in the past six months? Yes No
  Have you used alcohol in the past six months? Yes No
  Have you used drugs in the past six months? Yes No

If you answer YES to any of these questions in this section, you need to explain in the space below (what/why/when/where,etc). Include a statement of your goals for the future:
  


Brief History Since High School

If you have been employed, list your last three employers:
     
Name of Employer  Type of Work  Beginning Date  Ending Date
     
Name of Employer  Type of Work  Beginning Date  Ending Date
     
Name of Employer  Type of Work  Beginning Date  Ending Date


If you have taken any credit or non-credit workshops, please describe the most recent and significant ones:
Workshop Title Institution Date Grade or Result
Workshop Title Institution Date Grade or Result
Workshop Title Institution Date Grade or Result
Workshop Title Institution Date Grade or Result

Describe other activities?(eg. parenting, military duties, volunteer work, etc.) that you have been involved with since leaving school:



Hopes

Describe what you hope that the degree you earn through the Adult Degree Program will bring to you and your career:



Southwestern Adventist University

Where Did You Learn about the SWAU Adult Degree Program?
Check all that apply:
  from a friend from a newspaper
  from a church publication from the Internet
  from an ADP student from a pastor
  from a teacher other    



Student Pledge

By electronically submitting this application, I certify that the above statements are correct and complete.   I understand that incomplete or false information may make me ineligible for admission to or continuation at Southwestern Adventist University.