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Did you know:

Elizabethtown College's
Adult Degree Program

has been a leader in adult education for over 35 years;
is on the cutting edge of adult education;
offers educational options that fit into the lives of students;
welcomes adult students, with programs designed to meet your needs;
offers online courses, convenient locations, and a commitment to adult students.

Prospective Students: Undergraduate Online Application

Please complete all of the required information below to submit your online application. Be certain to read the instructions regarding the required accompanying documents that must be mailed in order to complete the application process.

* indicates a required field

First Name:*

Middle Name:*

Last Name:*

Maiden Name:

Street Address:*

Email Address:*

City:*

State:*

Postal Code:*
-

County of Residence:*

Country:*

Home Telephone:*
- -

Cell phone:
- -

Date of Birth:*

Social Security Number:*
- -

U.S. Citizen:*

Yes

Are you currently employed:*

Yes

Full Time:	Part Time:

Position:

Employer Name:

Employer Address:

Employer Phone:

Does your employer have a tuition benefits program?*

Yes

Do you intend to use the tuition deferment program offered by Elizabethtown College for students who participate in tuition reimbursement programs? (Payment is deferred for 30 days following the end of session if all paperwork is properly submitted to the Elizabethtown Continuing Education office.)*

Yes

Have you ever taken courses previously through EC?*

Yes

If yes, when

Are you planning to apply for financial aid?*

Yes

Are you eligible for VA benefits?*

Yes

Previous Education (list all colleges, universities and professional schools attended, including Elizabethtown College.)

Name:

Location:

Approximate # of transfer credits:

From:

To:

Name:

Location:

Approximate # of transfer credits:

From:

To:

Name:

Location:

Approximate # of transfer credits:

From:

To:

High School:*

Year Graduated:*

Military:

Programs of Study

Accounting

Bachelor of Science in Accounting

Associate of Science in Accounting

Certificate in Accounting

Diploma in Accounting (Post-baccalaureate program)

Business Administration

Bachelor of Science in Business Administration

Associate of Science in Business Administration

Certificate in Management

Diploma in Business Management (Post-baccalaureate program)

Information Systems

Bachelor of Science in Information Systems

Associate of Science in Information Systems

Certificate in Information Systems

Diploma in Information Systems (Post-baccalaureate program)

Corporate Communication

Bachelor of Arts in Corporate Communication

Associate of Arts in Corporate Communication

Certificate in Corporate Communication

Diploma in Corporate Communication (Post-baccalaureate program)

Criminal Justice

Bachelor of Science in Criminal Justice

Associate of Science in Criminal Justice

Human Services

Bachelor of Science in Human Services, Generalist

Bachelor of Science in Human Services, Behavioral Addictions Counseling

Associate of Science in Human Services

Diploma in Human Services

Social Work

Bachelor of Arts in Social Work

Certificate in Human Services

EXCEL Program

Bachelor of Professional Studies in Criminal Justice

Bachelor of Professional Studies in Business Administration

Bachelor of Professional Studies in Information Systems

Bachelor of Professional Studies in Early Childhood Education

Bachelor of Professional Studies in Political Science

Bachelor of Professional Studies in Religious Studies

If applying for a diploma program, please give the following information

Degree:

Year:

Major:

College:

I intend to pursue my degree through evening study, primarily at:

Elizabethtown Campus

Dixon University Center
at Harrisburg

Lancaster Campus

York Center

The following items must be completed as part of the admissions process.

Official transcripts from other colleges and universities attended should be mailed from the schools directly to Elizabethtown College (see applicable addresses below). If no previous credits, have high school transcript mailed.
Essay stating your professional/academic goals (2-3 pages).
Resume

Mail these items to the appropriate office (the essay and resume can be emailed to your admissions counselor):

Elizabethtown and Harrisburg Programs
CCEDL – Elizabethtown College
One Alpha Drive
Elizabethtown, PA 17022-2298

Lancaster Programs
Elizabethtown College – Lancaster Center
College Square
931 Harrisburg Avenue, Suite 10
Lancaster, PA 17603

York Programs
York Center
224 St. Charles Way, Suite 250
York, PA 17402

I hereby make application to the program specified above. The foregoing information is true to the best of my knowledge.

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