Application for Admission

Admission for all students matriculating into a degree program is based upon past academic performance and demonstrated scholastic ability.  In all cases, students are considered for admission without regard to their age, race, creed, sex, ethnic background, or physical handicap.  Some students may be asked to come for an interview to discuss their educational plans more thoroughly.   Hilbert College has a rolling admissions policy and will accept applications for consideration up until the beginning of each term.  Early application is encouraged as it ensures top consideration for institutional aid and residential options.

	Direction For All Applicants

A. Complete This Application: Please complete all required fields and follow all directions precisely. B. Application Fee: After completing the application you will need to submit a check or money order in the amount of $20 US payable to Hilbert College. This application fee is non-refundable. C. File For Financial Aid: Request a Free Application for Federal Student Aid(FAFSA). Complete this form to begin the process to receive financial assistance. This form may also be filled out on-line at http://www.fafsa.ed.gov/. Hilbert College's codes are: Federal School Code: 002735 State Code(TAP): 2083		Required Transcripts and Documents An application will not be complete until the application fee and all required offical transcripts have been received. For High School & Adult/First Time College Students: Please have your high school counselor send an official transcript to the college. If a GED has been received provide a copy of the certificate and the test scores. Adults should contact their high schools and have a transcript sent. For College Transfer Students: Contact all of the colleges or universities that you previously attended and have them send offical copies of your academic transcripts to Hilbert. If you do not hold a college degree, please contact your high school and have them send us an offical transcript in addition to your college transcripts.

Part One: Student Information

1. Name: First Middle Last Maiden

2. Social Security Number: - - I Do Not Have A Social Security Number

3. Date Of Birth: Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

4. Gender: Male Female

5. Address: Street Address Apt. or PO Box # None Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Nova Scotia Nunavut Northwest Territories Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming American Samoa Guam MP Puerto Rico Virgin Islands Yukon City State/Province Zip Code

6. Phone Numbers: ( ) - ( ) - Ext. Home Work

7. Email Address:

8. I am applying for the following term: Spring Summer Fall 20 080910

	Part Two: Background Information
Hilbert College admits students without regard to their age, race, creed, sex, ethnic background, or physical handicap to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in the administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school administered programs.

9. Citizenship: USA Other If other, What Nationality?

10. Are you eligible for Veterans Educational Benefits? Yes No

11. Ethnicity/Race:

If you wish to identify yourself as a member of a racial/ethnic group, please indicate.

Caucasian African American Hispanic/Latin American I do not wish to disclose Native American Asian American Other If Other, Please Specify:

12. Are you employed Full-Time? Yes No

If Yes, Where? Position

13. Parent/Guardian Information:

Please complete this question if your permanent residence is with your parent or legal guardian.

Father's Information Name Occupation Company Phone ( ) - Mothers Information Name Occupation Company Phone ( ) -

14. Has either parent received a degree from Hilbert College?

Father: Yes No Graduation Year: Mother: Yes No Graduation Year:

15. What was the primary reason in your choice to apply to Hilbert College? Please Choose One Reputation of the College/Academic ProgramsLocation & Size of the collegeDivision III AthleticsFamily/Friend ReccomendationsDecided after individual meeting or open houseDecided after reading catalogs, viewbooks, etc.Recommended by High School CounselorHilbert by the Numbers Program

	Part Three: Educational Background

16. Please check the box that best explains your situation: I will be attending college for the first time. I am transferring from another college or university/ have attended college prior to now. I have attended Hilbert College in the past.

17. I am applying for: Full Time Admission Part Time Admission

18. High School Information: Name City/State Grad. Date OR  I am not a high school graduate, but have a high school equivalency diploma. (Please submit a copy of your GED score sheet and certificate to the admissions office)

19. College/University: Please list all colleges or universities that you have attended or are currently attending. Please request official transcripts to be sent from all institutions listed below. Name City/State Dates Attended 1. 2. 3. 4. If you are currently taking courses at another institution, please list the names and course numbers of the courses which are currently in progress. 1.    2.    3.    4. 5.    6.    7.    8.

20. If you have a degree, or are expecting to receive one from any of the above institutions, please list them here.

	Part Four: Campus Life Interests

21. Residence Life:  Hilbert college offers traditional and apartment-style I want to live on campus I plan on commuting I am unsure at this time

22. I am interested in the following NCAA Division III Athletic programs offered at Hilbert College: Men's Athletics   Baseball   Basketball   Cross Country   Golf   Soccer   Volleyball Women's Athletics   Basketball   Cross Country   Golf   Soccer   Softball   Volleyball

	Part Five: Academic Program Interest

23. I would like to apply for admission into the following academic program: Please Select a major Associate      Accounting      Banking      Business Administration      Criminal Justice      Human Services      Liberal Arts      Management Information Systems      Paralegal StudiesBachelor      Accounting      Business Administration      Criminal Justice      Communication Studies      Economic Crime Investigation - Technology      Economic Crime Investigation - Accounting      English      Forensic Science/CSI      Human Services      Liberal Studies: Law and Government      Paralegal Studies      Political Science      Psychology      Rehabilitation ServicesOther      Non-matriculated

24. Education Through Collaboration (For students interested in education) Hilbert College provides students interested in Elementary, Secondary, English as a Foreign Language, and Special Education with collaborative opportunities in area graduate programs. In addition to obtaining a Hilbert baccalaureate degree these programs prepare students for pursuit of their Master's degree and teacher's certification with earned graduate credit already in hand. Please check a box if you have interest in any of these areas of teacher certification. (Note: This option is only availiable with 4 year Criminal Justice, English, Human Services, or Liberal Studies majors) Elementary Education Secondary Education Special Education English as a Foreign Language