Personal Information

Last Name, First Name, Middle Initial

Maiden Name if Married

Social Security Number

Birthdate

Place of Birth

Gender

Marital Status

Permanent Mailing Information

Street Address

Box/Apartment Number

City

State/Province

Zip/Postal Code

Contact Information

Email Address

Phone Number

Alternate Phone Number

Church Information

Church

Denomination

Pastor'sname

Church Phone Number

Street Address

Box Number

City

State/Province

Zip/Postal Code

Employment Information

Your Employer

Your Job Title

Demographic Information

Are you a U.S. citizen?

If No, what is your current immigration status?

Ethnicity (optional)

Enrollment Information

To which Arts Associate of Arts degree program are you applying?

Have you previously applied to or attended Taylor University

If yes, when and which campus?

(Dates)

How did you first learn of the Taylor University Fort Wayne Online?

College Transfer Student Information

Have you attended any other colleges?

If yes, which one(s)? (Include City, State, and Date Attended)

Are you eligible to re-enter the above college(s)?

If no, please explain

Have you ever been dismissed or placed on academic or disciplnary probation?

If yes, please explain:

Optional: If you feel that your high school or college performance was adversely affected by special circumstances, please summarize below:

Family Information

Are you married?

If yes, name of spouse

Do you have children?

If yes, list name and ages

If you are under 18 years of age, provide the following

Father's Last Name, First Name, Middle Initial

Mother's Last Name, First Name, Middle Initial

Father's Work Phone Number

Mother's Work Phone Number

Do you live with both parents?

Do you live with others?

Did either of your parents attend college?

Is either of your parent's pastors?

If yes, indicate part-time or full-time.

Are either of your parents employees of Taylor University?

If yes, indicate part-time or full-time.

Are either of your parents employees of another Christian College?

If yes, indicate part-time or full-time.

Educational Information

Name of High School

Date of Graduation

City

State/Province

Did you take honors courses or advanced placement (AP) courses?

Have you taken (or retaken) the SAT?

Date taken?

SAT Verbal Scores

SAT Math Scores

Have you taken the ACT?

Date taken?

ACT Composite?

Did you recieve a high school diploma, G.E.D., or high school equivalency diploma? (indicate which)

If you did not receive either a high school diploma, G.E.D., or high school equivalent diploma, please explain:

Personal Statents

Are you interested in enrolling in a TUFW Online Associate of Arts 2+2 degree program? If so, is it your intent to attend the Taylor University campus to finish out your BA/BS degree after completing your 2+2 Program?

Have you personally accepted Jesus Christ as your Savior? (If Yes, indicate how you came to such a commitment and describe the experiences and/or influences that have contributed most significantly to your spiritual development. If No, explain why the Christ-centered emphasis at Taylor appeals to you.)

Please type out your personal testimony. Be sure to explain your level of church participation and church activities both past and present.

Rate your own testimony:

Rate your own church participation:

Describe significant life experiences that have influenced/affected your decision to pursue a degree with Taylor University.

Have you ever been convicted of a crime, other than a minor traffic offense, in any state?

If yes, please provide details. In addition, if you were convicted of a crime, but participated in a diversion program, please provide all details

Statement of Expectations

Participation in the Taylor University Fort Wayne Online is based on the following foundational statements and expectations: Mission and Purpose Statement Taylor University is an interdenominational evangelical Christian institution educating men and women for lifelong learning and for ministering the redemptive love of Jesus Christ to a world in need. As a Christian community of students, faculty, staff, administration, and trustees committed to the Lordship of Jesus Christ, Taylor University offers postsecondary liberal arts and professional education based upon the conviction that all truth has its source in God.

Statement of Faith

Taylor University is firmly committed to evangelical Christianity. To assure the central place of Christian principles in the philosophy and life of the university, the trustees, administration, and faculty believe that: God is the ultimate creator and sustainer of all things in heaven and on earth; The Holy Bible is the inspired, authoritative, written Word of God, progressively revealing God’s will for humankind who, though created by God in His image, rebelled and needs redemption; Jesus Christ is the Living Word of God, Who made known God’s plan for redemption in His virgin birth, sinless life, atoning death, bodily resurrection, and ascension; and Who will return in power and glory; The Holy Spirit is God present in the life of the believer, testifying to the Lordship of Christ and enabling the believer to live a godly life; and The Church is the community of believers who express their unity in Christ by loving and serving Him, for each other, and for all humankind.

TUFWO Code of Conduct

All students of Taylor University Fort Wayne Online are expected to conduct themselves in an appropriate manner, whether attending a class at a Taylor location or participating in a distance-learning course. The following standards of conduct are expectations of members in this learning community. Students participating in classes at a Taylor location are expected to refrain from the use of tobacco in any form, alcoholic beverages, hallucinogenic drugs and substances, or narcotics not authorized by a physician while at the location. Discrimination against others on the basis of race, national origin, sex, or disability is not acceptable. Any kind of demeaning gesture or word, threat of violence, or physical attack directed toward another person will not be tolerated. Vandalism of property, including computer viruses and sabotage, is also unacceptable. Plagiarism, an effort to steal and pass off the words or ideas of another as one’s own, is wrong and will be punished. Students are expected to give proper credit to sources. Since much work will be done outside the purview of an instructor, students are expected to exercise academic integrity and only submit work that is one’s own.

The Taylor University Fort Wayne Online reserves the right to exclude at any time learners whose conduct is deemed undesirable or prejudicial to the university’s best interests.

Affirmation

As a degree-seeking student of the Taylor University Fort Wayne Online, it is my desire to maintain the expectations of Taylor University. I understand Taylor University’s Christ-centered educational commitment, have read the Code of Conduct, and will conduct myself accordingly. I further certify that all information provided on this application is accurate and complete and is my own work.

Signature (Type Full Name - Required)

Date (Type Full Date: i.e. October, 15 2007)