ADMISSION and SCHOLARSHIP APPLICATION
MILLERSVILLE UNIVERSITY
PLEASE TYPE OR PRINT LEGIBLY. IF YOU NEED MORE SPACE, USE THE BACK OF THIS FORM OR ANOTHER SHEET.
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NAME
SOCIAL SECURITY NUMBER
________________
NAME BY WHICH YOU PREFER TO BE ADDRESSED
BIRTHDATE
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PERMANENT STREET ADDRESS
________________
CITY
STATE
TELEPHONE NUMBER
ZIP CODE
________________
EMAIL ADDRESS
MAJOR
ADVANCED PLACEMENT AND HONORS COURSES YOU HAVE TAKEN OR IN WHICH YOU ARE CURRENTLY ENROLLED:
________________
________________
ACADEMIC HONORS AND AWARDS YOU HAVE EARNED:
________________
EXTRA CURRICULAR ACTIVITIES:
________________
________________
You may request on-campus Honors housing by returning the form you will receive from Resident Life.
A LETTER OF RECOMMENDATION FROM A TEACHER FAMILIAR WITH YOUR ACADEMIC ABILITIES AND
COMMITMENT TO EDUCATION MUST BE RECEIVED BEFORE YOUR APPLICATION CAN BE CONSIDERED. THE
TEACHER SHOULD SEND THE RECOMMENDATION UNDER SEPARATE COVER TO THE ADDRESS BELOW.
SUBMIT, ATTACHED TO THIS APPLICATION, A TYPED ANALYTICAL ESSAY OF AT LEAST 300 WORDS DEVELOPING
YOUR IDEA ON ONE OF THE FOLLOWING TOPICS:
A.
B.
C.
What person has had the most influence in the development of your life goals and values?
Is the primary purpose of education to develop useful skills, or does learning have intrinsic value?
What individual, living or dead, would you most wish to dine with, and what would you hope to learn?
Of your accomplishments listed above, which did you find the most enriching? Explain your choice.
D.
THE APPLICATION FORM, ESSAY AND LETTER OF RECOMMENDATION SHOULD BE SENT TO:
DIRECTOR, UNIVERSITY HONORS COLLEGE
FRANKLIN HOUSE
MILLERSVILLE UNIVERSITY
6 N. GEORGE ST., MILLERSVILLE, PA 17551
FOR OFFICE USE ONLY
NOTIFIED
ACTION TAKEN
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Revised 8/13
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HSR