Application for Admission - Fairmont Campus

A non-refundable $25.00 application fee is required to process your application. See confirmation page after submitting for information on payment options.

Today's date (MM-DD-YYYY)

Term of entry Year of entrance (YYYY)

Entry Status

If transfer, # of credits

Ever attend PC? When?

Primary Course of Study

If Biology: What are your career goals?

Contact Information

First Name Middle Initial Last Name

Mailing Address City State/Providence

Zip/Postal Code Country

Home Phone (xxx-xxx-xxxx) Cell Phone (xxx-xxx-xxxx)

Employer Position

Email Address

Additional Information

Date of Birth MM-DD-YYYY Gender Male Female

Social Security Number

Marital Status Other Name

Number/Age of Dependents Religious Preference

Are you Hispanic/Latino    Yes     No

Please identify your race by selecting one or more from the following:

Hispanic/Latino

American Indian or Alaskan Native

 Asian

 Black or African American

 Native Hawaiian or Pacific Islander

 White

Parent/Guardian Information

(Please complete if under 21 years of age)

Father/Guardian's Name

Address (if different from applicant)

Profession/Position

Employer Work Number

Highest Level of Education Completed

Mother/Guardian's Name

Address (if different from applicant)

Profession/Position

Employer Work Number

Highest Level of Education Completed

Parents Marital Status With whom do you reside?

Other Information

Do you qualify for VA benefits Yes No

Are you a U.S. Citizen? Yes No If no, specify country of origin

If no, are you a permanent resident    Yes    No

Academic Record

(Must be completed before application can be processed)

Name of HS/GED/College City/State Dates attended (MM/YY) Degree Credit hours

*Applicants must submit official transcripts of all high school, college, and technical school credits earned and/or GED scores. Official transcripts must be sent directly from all previously attended institutions to the Presentation College Admissions Office.

List other colleges to which you are applying

Extra-curricular Activity Participation

List high school activities in which you participated

Cheerleading

Newspaper

Drama

Student Government

Yearbook

Chorus

Band

Other (please list)

How did you hear about Presentation College?

What date did you first have contact or heard about Presentation College?  

Presentation College is committed to a policy of non-discrimination on the basis of race, color, religion, age, national origin or disability in admission, educational programs or activities, and employment as required by applicable laws and regulations. Responsibility for the coordination efforts and receipt of inquiries, including those concerning Title IX of the Educational Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973, has been delegated to the Director of Human Resources, Presentation College, 1500 North Main Street, Aberdeen, SD 57401/ 1-605-225-1634. Presentation College Complies with the provisions of the Family Education Rights and Privacy Act of 1974 and the Student Right-to-Know Act of 1990. The yearly report is available from the Dean of Students upon request.

By submitting this application form, I affirm that the information provided on the application is accurate and complete. Failure to provide correct information is grounds for reconsideration of this application. If admitted, I agree to observe all the rules and regulations of Presentation College.

Person Submitting

Date MM-DD-YYYY