Adult Online Application

ADULT ONLINE PROGRAM APPLICATION

Name

First Name

Middle Name

Last Name(s)

Maiden Name

Suffix

Preferred First Name

Address

Mailing Address

Country

Street

City

Region

Postal Code

Email/Phone

Email Address

Mobile Phone:

I agree to receive text messages from Georgetown College.

Biographical Information

Legal Sex

Pronouns

Birthdate

Social Security Number

Race/Ethnicity

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

Are you Hispanic or Latino?

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:

Academic History

Add the schools that you have attended below. You can add more school rows by clicking the "Add School" button in the bottom left corner of this section.

DeleteSchool _ID_
School Name School CEEB Hidden

Add a school

Academic Interest

Which term are you applying for?

What program are you wishing to pursue?

* To be fully admitted to Georgetown College and the Teacher Education Program applicants must meet the admissions requirements for initial undergraduates as identified in 16 KAR 5:020.

Have you taken the ACT in the past five years?

Please provide your composite and sub-scores below.

Composite

English

Math

Reading

Science Reasoning