Welcome to the Davis & Elkins College On-Line Application for Admission.  Please complete the form and press the Apply Button at the end of the application.  If you experience difficulty sending the information, you may print the completed application form, sign the bottom, and return it to Davis & Elkins College, Office of Admissions.

An official secondary school transcript and test scores from SAT or ACT are required of all freshman applicants.  Transfer students are also required to submit official transcripts from all colleges and universities previously attended.  After Davis & Elkins College receives the information provided in this form, a request for a signature and the $35 non-refundable application fee made payable to Davis & Elkins College will be sent.  Please remember that a signature must be on file in order to complete the application process.

Personal Background

First Name: 

Middle Name: 

Last Name:       

Preferred or Nickname: 

If documentation will be submitted under another name, please specify the names: 

Please provide your address information below:

    Street Address 1

    Street Address 2

    City

    State or Province

    Zip or Postal Code

    County

Contact Information:

    Telephone

    Email

    Fax

Social Security Number

Sex     Male      Female 

Date of Birth

Country of Citizenship

Academic and Educational Information

I am applying as (check all that apply):  Freshman      Transfer    Full-Time    Part-Time    Resident (on campus)    Commuter

Applying for which term?    Spring 2001    Summer 2001    Fall 2001    Spring 2002    Summer 2002    Fall 2002

Have you applied to Davis & Elkins College before?     Yes    No

Are you interested in the Honors Program?    Yes    No

Intended area of study: 

Other area of study: 

High School graduation date

List high schools, secondary schools and colleges you have attended or are attending:

    School Name

    City

    State or Province

    Dates attended

   

    School Name

    City

    State or Province

    Dates attended

List any academic awards or honors you have received (for example:  Honors Society, Governor's School, National Merit, etc.).

Indicate the date(s) you have taken or will take any of the following tests (TOEFL is required if English is not your native language).

    SAT-I

    ACT

    TOEFL

Extracurricular, Athletic, and Service Activities

List your extracurricular, athletic community, church service activities, and employment.  Indicate any awards or honors you have received.  Also, please check the box at the right to indicate your interest in pursuing the activity while a student at Davis & Elkins College.

Activity                                        Awards

           

           

           

           

           

           

Scholarship and Financial Aid Information

This information is not used for admission decisions.  If you wish to be considered for any of the following scholarships, check all that apply:

Academic    Athletic    Honors    Music    Studio Art    Theatre   

Note:  Fine and Performing Arts scholarships are available for both majors and non-majors based on an audition or portfolio review.

Do you intend to apply for need-based financial aid? Yes No    Note:  Applicants for need-based financial aid, including grants, student loans and campus employment should submit the Free Application for Federal Student Aid (FAFSA) by March 1.

Family Background

    Father's Name

    Address

    City, State/Province

    College(s)

    Degree(s)

    Occupation

    Employer

 

    Mother's Name

    Address

    City, State/Province

    College(s)

    Degree(s)

    Occupation

    Employer

With whom are you living?Both Parents    Mother only    Father only    Other (specify)

Number of Siblings: 

Number of Siblings in college:

Optional Information

This information is optional and is not used for admission decisions, but is helpful for aggregate reporting purposes.

Your Religious Affiliation: 

First language if other than English: 

How would you describe yourself:

American Indian or Alaskan    Asian or Pacific Islander (including Indian subcontinent)    Black (non-Hispanic)

Hispanic (including Puerto Rican)    White, Anglo, Caucasian (non-Hispanic)    Multi-racial    Other

What other colleges are you considering?

How did you learn about Davis & Elkins College?

Davis & Elkins College does not discriminate in its programs, activities, or admissions on the basis of race, color, sex, handicap, religion, ancestry, age, and national or ethnic origin.