Phone Hope Center School 3 Hickman Street Graniteville, SC 29829 803-272-7285 Application for Admission Full Name Street Address City State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Phone Number Student Email Address SSN Academic Program (Select One): Culinary Arts - Specialty Cooks Culinary Arts - Baking and Pastry Paralegal Principles Engineering Technology Supported Educational Program for Culinary Arts Nursing Aide Anticipated Start Date (Select One): Fall Trimester Winter Trimester Spring Trimester Required Essay Questions: Q1: In 150 words of less discuss why you are interested in attending the Hope Center School? (Do not consider the location) Q2: What do you do (e.g. work or school)? Why? (200 words or less) Q3: Describe your current or past involvement in a club, sport, or volunteer activity. (250 words or less) Financial Plans Do you plan to apply for Financial Aid? Yes No Do you plan to apply for a Scholarship? Yes No Parent/Guardian Information Only necessary if the student is under 18 years of age. Relationship to you First Name Middle Name Last Name Phone Number Email Address Parent/Guardian Address Street Address City State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code High School Credit List each high school you attended and the dates you attended: Year of High School Graduation Dates of High School interruptions: Upload official High School transcripts: Add File If you do not have your transcripts, please submit them to the Admissions Office once you have obtained them. If you did not graduate from High School, did you receive a GED? Yes No If yes, date received: If yes, please upload an official copy of your GED: Add File If you do not have an official copy, please obtain one and submit it to the Admissions Office. College Credit Have you attended a college/university for credit? Yes No Are you currently enrolled in college? Yes No List each college/university you have attended with the dates of attendance and the outcome. Upload official college transcript: Add File If you do not have a copy of your official college transcript, please obtain one and turn it into the Admissions Office. Ethnic Information (Optional) The following will not be used in a discriminatory manner. The Hope Center School accepts students regardless of race, creed, gender, physical ability, and/or sexual orientation. Ethnicity American Indian or Alaska Native Asian Black or African American Hawaiian or Other Pacific Islander White or Caucasian Hispanic, Latino, or Spanish Origin Please check one or more of the above groups you consider yourself to be a member. Personal Information (Optional) The following items are optional. The following will not be used in a discriminatory manner. The Hope Center School accepts students regardless of race, creed, gender, physical ability, and/or sexual orientation. Former Last Name/Maiden Name Marital Status Now married Widowed Divorced Separated Never married Gender: Date of Birth Military History Are you an active duty or former member of the military or reserves? Yes No If yes, branch and years of service: Are you a spouse or dependent of an active duty military member? Yes No Disciplinary History Have you received disciplinary action at school during or since the 9th grade? Yes No Disciplinary action includes any probation, suspension, removal, dismissal, or expulsion as a result of any academic or behavioral misconduct. If yes, please explain dates, circumstances, outcome of the situation, and what you learned from the experience. Have you ever been convicted for the violation of any federal, state, county or municipal laws (excluding minor traffic Yes No If yes, please explain dates, circumstances, outcome of the conviction, and what you learned from the experience. Additional Information Have you previously applied to the Hope Center School? Yes No If yes, when? Admission Consideration Factors How did you first learn of the Hope Center School? What most influenced you to enroll with the Hope Center School? Certification Please initial the following statements. I understand that once my application has been submitted it may NOT be altered in any way: I understand that all the information submitted in the application is my own work, factually true, and honestly presented. I authorize the Hope Center School to review all requested records required of my application and to conduct a criminal investigation check. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false: I certify and understand that an offer of admission is conditional, pending receipt of proof of High School graduation or GED completion and if applicable College/University transcripts showing prior work. Applicant must provide certified copies of the above mentioned documents: I certify that upon enrollment at the Hope Center School, I agree to be liable for all debts incurred. I agree to reimburse the Hope Center School the fees of any collection agency, which may be based on a percentage at a maximium of 33.3% of the debt, and all cost and expenses, including reasonable attorney's fees, incurred in such a collection effort: Printed Name of Applicant Submitting this online form, I certify that the above printed signature constitutes my signature-in-fact and is legally binding as such. Date of Signature If applicant is under 18 years of age, a parent/guardian signature is also required. Printed Name of Parent/Guardian Submitting this online form, I certify that the above printed signature constitutes my signature-in-fact and is legally binding as such. Date of Parent Signature