Salter College Salter college Click to Get Directions | 184 West Boylston Street, West Boylston, MA | 508-853-1074

 
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Personal Information
First Name*:
Last Name*:
Middle In:
Street Address*:
City*:
State*:
ZIP/Postal Code*:
Country:
E-mail*:
Date of Birth*:
Telephone*:
Sex*:
Are you a citizen of the United States?*:
If you are not a U.S. Citizen-Country of Birth:
I am applying as*:

Academic Areas of Study
Associate Degrees:
Certificates:
Education Information
 
Freshman: Please list every high school you have attended.
 
Transfers: Please also note the college in which you are currently enrolled and all others attended.

Name of High School
or College		 State Dates of Attendance
Month and Year		 Expected date
of graduation
 
x
Counselor's Name: Counselor's Telephone #: GPA:



SAT I Scores: Math
List Dates:
Critical Reading
List Dates:
Writing
List Dates:
ACT Scores Comp.
List Dates:
TOEFL/ELPT Scores:
List Dates:
Honors Activities

Please list any co-curricular activities in the past four years. Include specific events and/or major accomplishments, such
as musical instruments played, varsity letters, honors, awards, and prizes you have received.

Activity Number of years
of participation		 Positions held or
honors won		 Continued in college?


Full- and part-time jobs held

Employer City/Telephone Type of Work Start/End date
of Employment		 Hours/Week


 
Signature of Applicant
By electronically transferring this document to Salter College, I certify the above information is complete and correct. I further understand that falsification or failure to supply the correct information may lead to the disqualification of my application for admission to Salter College. I also agree to accept full responsibility for all debts incurred.

I authorize all secondary schools and colleges I have attended to release all requested records and authorize review of my application for the admission process indicated on this form.

Salter College admits students of any race, color, national or ethnic origin, physical limitation, religion, age or sexual orientation to all rights, privileges, programs, and activities generally accorded or made available to students at the college. Salter College does not discriminate on the basis of race, color, national or ethnic origin, physical limitation, religion, age or sexual orientation in the administration of its educational policies, admission policies, scholarship and loan programs, and other College-administered programs. The information requested on the application form is for the completion of statistical information only and is not used as a basis for admission.
Thank you for applying to Salter College.
 
 
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