Graceland University

ACE - UNDERGRADUATE APPLICATION

Call 641-784-5046 or email llong@graceland.edu with any questions.


PERSONAL INFORMATION
Please enter your full legal name:
Full First Name*
Middle
Last*

Preferred Greeting Name (Liz for Elizabeth, Bill for William, etc.)
Email* (For example me@aol.com is a valid format.)

Confirm Email*

Home Address*



City*
State/Province*
Zip/Postal Code*
Country*
Home Phone* Example: 111-222-3333
Cell Phone Example: 111-222-3333
Citizenship*
Resident Alien* Yes No (If yes, a copy of your permanent resident card is required.)
Birth Country*

Birth Date: Month* Day* Year* Enter all 4 digits of the year
Gender* Male Female
Social Security Number (U.S.) or Canadian SIN Example: 111-22-3333


Name of High School
School City, State/Province

Have you previously applied for admission to Graceland? Yes No  What Year

How did you hear about this program?

CONTRACT
I understand that withholding information requested on this application or giving false information will make me ineligible for admission to Graceland University or subject to dismissal. I also understand that the submission of fraudulent academic records by a student for undergraduate admission, transfer of credit, or any other purpose shall be cause for dismissal from the University. I certify that the information given in this application is complete and accurate, and if admitted, I agree to comply with the regulations of the University.

PLEASE NOTE: Other admission requirements, as listed in the university catalog, must be met before your application is considered complete.

APPLICANT'S NAME*


(Please click only once.)
* Required field

POLICY ON NONDISCRIMINATION

Graceland University does not discriminate against any student or prospective student on the basis of race, color, religion, age, sex, national origin, disability, or sexual orientation. We are a caring community dedicated to the physical, intellectual and spiritual well-being of each individual. Gracelanders join together to create an atmosphere of openness, mutual respect and diversity.