Admissions

Full Name:
Name you prefer to be called:  
Social Security Number:
Applying for  1st (Fall) 2nd (Spring)   Semester of (what year?)
as a Freshman Sophomore Junior Senior Pre-Theology Part-time
Current mailing address:
Current city:   State:   Zip code:
Telephone numbers: Home    Work
Birthdate (mm/dd/yy):  
Birth Place:
E-mail:
Present Arch/Diocese:
Present Parish:
Parish Address: Please include the complete address and telephone number.

Arch/Diocese or Religious Community Sponsoring you:
Priest Recommending you: (name, complete address, telephone number) 
 
How long have you been an active Catholic?
Have you ever been a novice or professed member of a religious institute?  Yes No
If yes, please give its name:
Have you ever attended a seminary?     Yes No
If yes, give its name:
Please list below all current or previous occupations giving the name of the employer, occupation and dates: 
1.
2.
3.
4.
Please check all applicable items: Veteran   U.S. Citizen   Immigrant   Student Visa
Who is responsible for paying your college expenses?
Would you like information about financial aid? Yes No
Have you taken the ACT Assessment? Yes No
If yes, did you have it sent to Conception Seminary College (Code 2280)?  Yes No
High School attended (name, address, year graduated): 

Please list all colleges you have attended regardless of length of stay (even if no work was completed). Give the name, location, dates attended and degree.




How many children in your family?  
How many older than you?
Your Father  Living Deceased
Full Name:
Address:
Occupation:
Religion:
Marital Status:
Age:
Your Mother  Living Deceased
Full Name:
Address:
Occupation:
Religion:
Marital Status:
Age:

I have offered the above information honestly, freely, and accurately. I understand that, in compliance with Federal Law and to safeguard the personal rights of its students, Conception Seminary has adopted certain policies and procedures governing the collection, use, retention, and release of student records. I understand that a statement of these polices is available from the Office of the Registrar upon request. I also understand that failure to provide all requested information may result in denial of admission or dismissal from Conception Seminary College.

Please type your full name and the date in the box below.

Conception Seminary College does not discriminate on the basis of race, color, or national or ethnic origin in the administration of any of its programs or policies. For more information, call (660)944-2886 or send an e-mail to vocations@conception.edu.