Application for Guest Enrollment

* denotes required

DEMOGRAPHIC INFORMATION

First name *

Middle name

Last name *

Mailing address *

Country

Street

City

Region

Postal Code

Mobile phone number*

Home phone number

May we text you important updates and reminders.

Yes

Best email address *

Gender *

Birthdate *

Are you a US citizen? *

Yes

US Citizenship (hidden)

What is your citizenship *

Are you a Lawful Permanent Resident of the U.S.? *

SCHOOL INFORMATION

Student Type: Current high school students should choose Dual Enrolled, everyone else please choose Other

Type of student*

Please specify which type of dual enrollment.

Dual - Regular on campus

Dual - Spanish Immersion

Dual - Satellite (course at the high school)

Term you wish to start? *

Current high school *

High school graduation year. *

COUNSELOR INFORMATION

Please provide your high school counselor's name and email address so we may request your high school transcript and confirmation letter for dual enrollment. Note: if homeschooled, please provide the contact information for your school administrator.

Counselor First Name *

Counselor Last Name *

Counselor Email *

PARENT INFORMATION

Parent information to send a copy of our correspondence to:

Parent 1 first name *

Parent 1 last name *

Parent 1 email address *

Parent 2 first name

Parent 2 last name

Parent 2 email address

Do you currently attend another college or university?

Yes

Current college/university*

Do you currently have a college degree? *

Yes

Have you ever taken any classes at Calvin? *

Yes

Are you currently a Calvin Faculty or Staff? *

Yes

Please provide your Calvin ID# (if known).

Course title and level you wish to take (i.e. Spanish 201)? *

OTHER INFORMATION

The following information is important for our records and will not be used in a discriminatory manner.

Race/Ethnicity

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the racial/ethnic backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions (optional).

Definitions

Hispanic or Latino:: A person of Cuban, Dominican, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
American Indian or Alaska Native:: A person having origins in any of the original people of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.
Asian:: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American:: A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander:: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White:: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Are you Hispanic or Latina/Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

ACKNOWLEDGEMENT

I certify that the information on this application is, to the best of my knowledge, accurate. I understand that Calvin University aims to provide an education which is Christian and is shaped by the Christian faith as reflected in the Reformed tradition.

Please type your name to indicate a signature below*

Calvin does not discriminate with regard to age, race, color, national origin, sex, or disability in any of its education programs or other activities.