APPLICATION CHECKLIST

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2 APPLICATION CHECKLIST Completing this application is your first step to joining the Paul Quinn College family and the Quinnite Nation. Our application process is designed to help us learn about your dreams and understand your story. The application is not long, but it does require you to be thoughtful. Therefore, please take your time. Requirements Completed application packet Minimum grade point average (GPA) of 2.75 on a 4.0 scale for regular admission A standard score of 650 for each content area of the GED Questions? Contact Enrollment Management: apply@pqc.edu Contact Financial Aid: finaid@pqc.edu Send Completed Applications to: Paul Quinn College 3837 Simpson Stuart Road Dallas, TX Application for admission (available at pqc.edu/apply) Official ACT/SAT scores (not required for transfer students with more than 15 credit hours) Official transcript(s) (must be sent from your high school and all previously attended colleges) Letter of recommendation Up to five-minute video that answers two of the following questions: If you were inviting any five people--past, present, or future--to dinner, who would they be and why would they be included? One of the Four L s of Quinnite Leadership states: Live a life that matters. This speaks to one's personal legacy. What would you like to be the five words used to describe your legacy? Please explain why you selected these words. What is the biggest problem in your neighborhood/city and how would you solve it? Complete your online application at 2

3 WHO ARE YOU? I. Identifying Information First Name Middle Name Last Name Suffix (i.e., Jr., III) Mailing Address City State Zip/Postal Code Country Home Phone Mobile Phone Address Date of Birth Social Security Number Gender: Male / Female II. Background Information Disclosure of this information will not affect admission. What is the highest level of educational attainment of one or both of your parents? High School Some College College Degree Master s Degree Law Degree Medical Degree Doctoral Degree III. Race and Ethnicity Information Disclosure of this information will not affect admission. Are you of Hispanic or Latino origin? Yes No Select one or more of the following racial categories to describe yourself. American Indian or Alaska Native Asian Black or African American Native Hawaiian or Pacific Islander White _ Bi- or Multi-Racial (Check all that apply) IV. Enrollment Status Will this be your first time in college since graduating high school? If you have attended college since graduating high school, have you earned fifteen credit hours or more? Will you require financial aid in order to attend Paul Quinn College? Yes No Yes No Yes No 3

4 WHO ARE YOU? V. Citizenship Information Are you a US Citizen? Yes No If Yes, continue to section V. If No, of what country are you a citizen? If you are not a citizen, do you hold Permanent Resident status (valid I-551) for the US? Yes No If Yes, enclose a copy of both sides of the permanent resident card. Note here the date it was issued, and continue to section V: / / If No, you are not a US citizen or permanent resident. Do you have an Application to Register Permanent Residence (form I-485) pending with the US Citizenship and Immigration Services (USCIS)? Yes No If Yes, enclose a copy of your Notice of Action from USCIS, form I-797C, and continue section V. If No, you are not a citizen or permanent resident and have no application ending with the USCIS. Have you, or will you have lived in Texas for at least 36 consecutive months immediately before graduating from high school or receiving a GED in Texas? Yes No If Yes, please submit a completed Affidavit of Intent to Become a Permanent Resident, and continue to section V. I VI. Emergency Contacts Contact 1 First Name Middle Name Last Name Mailing Address City State Zip/Postal Code Country Address Home Phone Mobile Phone Relationship Occupation/Employer Contact 2 First Name Middle Name Last Name Mailing Address City State Zip/Postal Code Country Address Home Phone Mobile Phone Relationship Occupation/Employer VII. Further Information Have you ever been on probation (academic or disciplinary) suspended (in or out of school) or dismissed from any high school or college? Yes No If yes, list and explain fully on a separate sheet. Have any criminal charges been brought against you? (Exclude charges which have resulted in a finding of not guilty or complete dismissal.) Yes No If yes, list and explain fully on a separate sheet. 4

5 WHO ARE YOU? VIII. High School and Test Information High School Name City Zip/Postal Code State Country Have you taken the SAT or ACT? Yes No If Yes, list composite score and date of test: ACT Composite, or SAT Composite Date of test / / High School Code (CEEB) Graduation Year If No, when is your expected test date? / / Current or Most Recent High School GPA High School Guidance Counselor Name High School Guidance Counselor How many institutions of higher education have you attended prior to PQC? If 0, proceed to section IX. If you have attended another college since graduating high school, please complete section VIII below. IX. Previous College Experience In this section, you must identify every institution of higher education you attended after graduating high school. An official transcript from each institution you have attended since high school graduation is required for admission, so please request those documents now. 5

6 WHAT ARE YOUR DREAMS? X. Why PQC? XI. References Briefly share with us your reason for applying to Paul Quinn College. Please submit a letter of recommendation from someone not related to you. This letter should answer the following questions: 6 1. What is this student s strongest quality or characteristic? 2. What would it take for this student to thrive in a college environment? 3. What is something we should know about this student that is not reflected on the application or transcript? Indicate the name of your recommender here: _ If you have a friend, family member, or mentor who is a current or former PQC student or alum, please list their name(s) below and the years in which they attended the College. XII. Intended Enrollment Information I am applying for Fall Semester 20 I plan to live I plan to attend Spring Semester 20 On Campus Off Campus Full Time Part Time

7 WHO WILL YOU BECOME? XIII. Intended Major Business Administration Accounting Entrepreneurship Fundraising & Philanthropy Management Health and Wellness Liberal Arts Communication Education: Early Childhood 6th Grade History Mathematics Political Science Psychology Legal Studies Religious Studies Undecided XIV. Video Statement You have told us who you ve been. Now help us see the person you can become. To complete your application, submit a video up to five minutes in length telling us about yourself and addressing two of the following three questions: 1. If you were inviting any five people--past, present, or future--to dinner, who would they be? Why? 2. One of the Four L s of Quinnite Leadership states: Live a life that matters. This speaks to one's personal legacy. What would you like to be the five words used to describe your legacy? Please explain why you selected these words. 3. What is the biggest problem in your neighborhood? How would you solve it? Submit your video to apply@pqc.edu. We can t wait to see your story! XV. Signature I grant my high school and/or college permission to release my official transcript to PQC. Furthermore, I certify that all of the information submitted as a part of this application, is my own work and factually true. I understand that I may be subject to disciplinary action, including the revocation of my offer of admission or expulsion, should the information I have certified be false. Student s Signature Printed Name Date Paul Quinn College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veteran status. Your application is incomplete until we have received all requested materials. For more information about merit-based scholarships and need-based financial aid, visit pqc.edu. Contact: Paul Quinn College / 3837 Simpson Stuart Road, Dallas, TX / Main / Fax / Toll Free / PQC.edu 7