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Application for Admission

SSN: --
Name:
Address:
City:
State:
Zip Code:
Email:
Home Phone Number: -
Alternate Phone Number: -
Gender: Male Female
Birth Date: //
Are you a U.S. citizen? Yes No
If not, country of cizitenship and type of visa:
Optional Information
Are you Hispanic or Latino? Yes No
What is your race?
(Check one or more)		 White
Black or African American
Asian
American Indian or Alaskan Native
Native Hawaiian or other Pacific Islander
Term Applying For: Fall Spring
 
Admission Desired: Track I: I hold a Temporary Provisionary Certificate
Track II: I hold a Bachelor's Degree in a certifiable major
 
Kentucky teaching certificate desired: Secondary 8-12 Middle 5-9
Art P-12 Business Marketing 5-12
Theater P-12 Spanish P-12
 
Your college major field(s):
List in chronological order all colleges or universities attended:
Name of Institution City/State Degree Dates Attended
(From - To)
Current employment
(Job and Employer):
 
If your current job is teaching, what is the content area?
Grade Level?
School?
 
Have you ever been convicted of a felony? Yes No
If YES, please forward relevant information on the matter or refer questions to the Director of Admissions, 333 Thomas More Parkway, Crestview Hills, KY 41017-3495. Thomas More College is committed to maintaining a safe environment for all members of the College community. As a part of this commitment, we require applicants who have been convicted of a felony to disclose this information. Record of a previous conviction does not automatically bar admission to the College but does require review.
 
Security Question: What is 1 + 2?
 
In submitting this application, I certify that the information supplied is true and complete. Any falsification or omission may be grounds for denial of admission or for disenrollment. If I am accepted for admission and enroll as a student at Thomas More College, I agree to abide by the rules and regulations of the College. By completing this application, I understand that I will be considered for all academic and/or designated scholarships for which I may apply.