Phone (802) 287-8207, Fax (802) 287-8099, email admiss@greenmtn.edu

If you are a high school student and would like to apply to GMC, see http://www.greenmtn.edu/admissions/first_year.aspx
If you are a college student looking to transfer to GMC, see http://www.greenmtn.edu/admissions/transfer.aspx
If you are an international student looking to apply to GMC visit http://www.greenmtn.edu/admissions/international.aspx

Green Mountain is still accepting applications for fall 2011

Please complete all sections.


 

Legal Name
Last/Family:
First Name:
Middle (Complete):
Preferred nickname
Former last name(s) if any:
SSN:
 Format:(xxx-xx-xxxx)

Birthplace

City, State, Country
Birth date:

A. Enrollment Plans
Applying as a:   Freshman For: Full-Time Study Gender: Male
 Transfer Part-Time Study Female
For the term of:

Fall Spring      Year: 
Green Mountain College requires all full time students enrolled in more than 9 hours of study per semester to reside within college residence halls unless students are above the age of 23, reside in Rutland or Washington counties for one year prior to enrollment or who may have special circumstances which would prevent such residency. Such exceptions must be communicated to the dean of campus life and they will be reviewed shortly after receipt.
Intended Major:
Please select all that you have an interest in: Pre-Law Advising Program
Pre-Med Advising Program
Pre-Vet Advising Program
Pre-Dental Advising Program
Self-Designed Advising Program

International students will need to submit a "Certificate of Finances" to complete this application.

B. Personal Data
  Permanent Address:
Address:
City:
State:
Zip Code:
      (Zip Code + 4 Digit)
Country:
Phone at Permanent Address: 
     (Including Area Code)
 
If different from above, please give your mailing address for all admission correspondence:
 
  Mailing Address:
Address:
City:
State:
Zip Code:
        (Zip Code + 4 Digit)
Country:  
Use until:
        (Month/Day/Year)
E-mail address:
 
  U.S./Dual U.S. citizen
If dual, specify other citizenship:
   (Country)
 
  U.S. Permanent Resident Visa
Citizen of:
   (Country)
 
  Other citizenship
  /
   (Country)      (Visa Type)
If you are not a U.S. Citizen and live in the United States, how long have you been in the country?
Are you a veteran of the U.S. armed forces? Yes No
Are you an active duty member of the U.S. armed forces? Yes No
Are either of your parents active duty members of the U.S. armed forces? Yes No
Will you be a candidate for financial aid? Yes No
If yes, the appropriate form(s) was/will be filed on:
    (Month/Day/Year)
Will you be requesting veteran benefits? Yes No

C. Educational Data
School you attend now:

  Date of entry:
Address: Act/CEEB code number:
 City:
 State:
Zip Code:
Country: Is your school:
Date of secondary graduation:
College Counselor Name: School Fax:
(Including Area Code)
School Phone:
  		(Including Area Code) 
 
List all other secondary, schools, including summer schools and programs you have attended beginning with ninth grade.
Name Location (City, State, Zip) Dates Attended
 
List all other colleges at which you have taken courses for credit and list names of courses taken and grades earned on a separate sheet. Please have an official transcript sent from each institution as soon as possible.
Name Location (City, State, Zip) Degree Candidate? Dates Attended

 
Test Dates: ACT: Test Scores: ACT:
  SAT:   SAT:
  TOEFL:   TOEFL:
GPA: Class Rank:  
 
  If not currently attending school, please check here. Please describe your activities since last enrolled.
 

D. Family Information
Mother's full name: Father's full name:
Is she living? Is he living?
Home Address, if different then yours: Home Address if different then yours:
City, State, Zip: City, State, Zip:
Occupation:
     (Describe briefly)		 Occupation:
      (Describe briefly)
Name of business or organization: Name of business or organization:
Work Telephone: Work Telephone:
College (if any): College (if any):
Degree:


(Type of degree/year)

 Degree:
     (Type of degree/year)
Professional or graduate school:
(if any)
(Type of degree/year) 		Professional or graduate school (if any):
     (Type of degree/year)
Guardian Information (if applicable)
Guardian Name:
Address:
City, State, Zip:
Telephone Number:
If not with both parents, with whom do you make your permanent home?
Please give the names and ages of your brothers and sisters. If they have attended college, give the names of the institutions, Degrees, and approximate dates:
Full Name Age Institution Degree Date Attended

E. Extracurricular and Community Activities:
List any academic achievements, honors, and awards, giving details where pertinent.
List all sports in which you participate.
List any school, extracurricular, and community activities.
List all work experience and give a brief job description.
List any hobbies or special interests.

F. Optional/Statistical Information
How did you
hear about GMC?
Are you Hispanic/Latino?
Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describe you: American Indian or Alaska Native (including all Original Peoples of the Americas)
     Are you enrolled? Yes No
     If yes, please enter Tribal Enrollment Number:

Asian (including Indian subcontinent and Philippines)
Black or African American (including Africa and Caribbean)
Native Hawaiian or Other Pacific Islander (Original Peoples)
White (including Middle Eastern)
Religious Affiliation:
Date you filed
(or will file) for financial aid? (FAFSA)
Marital Status:
List other colleges to which you have or will apply.
List any relatives who have attended or currently attend GMC or Troy Academy.

Please forward personal statement, letters of recommendation, test scores, and all official transcripts to:

Office of Admissions
Green Mountain College
One Brennan Circle
Poultney, VT 05764-1199

This personal statement helps us become acquainted with you as an individual in ways different from courses, grades, test scores, and other objective data. Please write an essay (250-500 words) on a topic of your choice or on one of the options listed below. Please attach your essay on a separate sheet.

1) Write an essay about how your view of the world has changed as the result of a novel, movie or another work of art or literature.

2) Describe an important issue facing your school, community or region and what you believe should be done to address the problem.

3) Discuss your expectations for college. What are you most looking forward to, and what if anything worries you?

Green Mountain College Codes
SAT: 3418 TOEFL: 3418
ACT: 4302 FAFSA: 003687
Profile:3418

I understand this application must be complete (transcript, a minimum of one teacher recommendation, standardized examination scores or alternative, and application fee) before any consideration can be given by the Committee on Admissions.

I agree that the information furnished on this Application for Admissions form, together with all information received by the Office of Admissions as a result of this application from whatever source, shall be completely confidential and shall not be disclosed to anyone, including the candidate and their family, except that the Dean of Enrollment Management may, at her discretion, disclose any part or all thereof to such persons as she deems appropriate.

Green Mountain College subscribes fully to all federal and state legislature and regulations (including the 1964 Civil Rights Act, Executive Order 11246, Title IX of the Educational Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, Americans with Disabilities Act, and the IRS Anti-Bias regulation) regarding discrimination on the basis of race, color, gender, religion, age, disability, sexual orientation, or national or ethnic origin in its programs and activities.

In accordance with Vermont Statues Annotated, Title 16, Statue 176, Sections 1 (c) (1) (C), all colleges and universities in Vermont are required to inform candidates that credits earned at their respective institutions are transferable to other programs only at the discretion of the receiving school. By submitting this form the student attests that s/he has read and agrees to these terms.


©Green Mountain College,
One Brennan Circle, Poultney, Vermont 05764-1199
800-776-6675 Fax: 802-287-8099
www.GreenMtn.edu

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