Suffix

Preferred Name

Please list any other names used:

*Contact Information: *Phone: Video Chat Account: *Preferred Method of Contact: Mail Phone Email Text Video Chat

*Domestic Address inside the United States Address 1 Address 2 Address 3 City: State: Zip Code: County:

*Address outside the United States Address 1 Address 2 Address 3 State or Province Country

*Have you completed or are currently enrolled in high school?

Yes

No

Grad Year:

*List Name of High School:

Did you complete the GED or HiSet test in lieu of completing a high school diploma?

Yes

No

*Have you attended College (including King College or University)?

Yes

No

ADD A COLLEGE OR UNIVERSITY

Have any of your family members attended King?	Yes	No
Who in your family attended King?

*Are you the first person in your family to attend college?

Yes

No

*Applying for (Begin by selecting "When would you like to start classes?" below):

• When would you like to start classes?

*Gender:

Male

Female

*Date of Birth:

*Have you ever served or are you currently serving in the US Army, Air Force, Coast Guard, Marine Corps, Navy, Reserves, or Guard:

Yes

No

*Which citizenship status best describes you:	--SELECT-- US Citizen Permanent Resident DACA In the US on a visa Other
*Please list SSN (9 digits; numbers only. No dashes or spaces.)
*Please list ARN
*Please list visa type and number
*Please describe

*Will you be an exchange student?

Yes

No

*Are you currently employed:

Yes

No

*Current Employer:

Areas of Interest:

Arts (Theatre/Music/Design) Athletics Civic Groups Leadership Groups Pre-Professional Health Programs Professional Groups Volunteer Work Other

*Are you interested in participating in intercollegiate athletics:

Yes

No

--SELECT-- Baseball Men's Basketball Men's Cross Country Men's Cycling Men's Golf Men's Soccer Men's Swimming/Diving Men's Tennis Men's Track Men's Volleyball Men's Wrestling Women's Basketball Cheerleading Women's Cross Country Women's Cycling Women's Field Hockey Women's Golf Women's Soccer Women's Softball Women's Swimming/Diving Women's Tennis Women's Track Women's Volleyball Women's Wrestling Acrobatics and Tumbling eSports

*Are you interested in pursuing a Performing and Visual Arts Scholarship:

Yes

No

--SELECT-- Choral Instrumental Theater-Performing Theater-Tech/Crew Photography

*Have you been subject to disciplinary action, or are you involved in a pending student conduct case(s), at any previously attended college or university (including King University):

Yes

No

If yes, please explain, including the name of the school where the incident occurred, the date(s) the incident occurred, the specific violations(s) for which you were found responsible, and the sanction(s) that were imposed on you.

*Have you been placed on academic probation from any school, college, or university you have attended:

Yes

No

If yes, please explain, including the name of the school where the incident occurred, the date(s) the incident occurred, the specific violations(s) for which you were found responsible, and the sanction(s) that were imposed on you.

*Have you ever been convicted or are you currently under indictment for a felony or misdemeanor? (This does not include minor traffic violations. A DUI is considered a misdemeanor. A conviction does not automatically disqualify an applicant.)

Yes

No

If yes, do you agree to submit to a background check? (By refusing to submit to the background check process you agree to withdrawal your application for enrollment.)

Yes

No

*How did you hear about King University (select all that apply):

Advertisement Billboard Business Information Table Chamber Event College Fair Community College High School Hospital Information Table Referral Web search Other

*I hereby make application to enter King University. If admitted, I agree to obey the regulations of the University and to conform to its Honor Code. I understand that students of King University seek to comport themselves within King University's core values, honoring the dignity of others and contributing constructively to a community of serious intellectual inquiry where social, spiritual, and intellectual formation occur. I certify that all statements in this application are correct and complete. I also give permission for the information in this application to be released to King University scholarship selection committees and their respective donors.

Typed Name Required