Section #1 :: Enrollment Information * = Required

Thank you for applying to Lake Erie College! Official High School transcripts and ACT or SAT scores are required for Freshman Applicants. Transfer Applicants must submit official transcripts from every institution previously enrolled along with proof of high school graduation. Two letters of recommendation are required for all students applying to Lake Erie College. All materials may be sent to Lake Erie College | Office of Admissions Box 345 | 391 W. Washington Street | Painesville, Ohio 44077.

*Application for Enrollment in:
*Enrollment Status:
*Financial Aid Status:
*Entering Status:
*Housing Status:
*Preferred Method of Contact:
   (Check all that apply)
Mail E-Mail Phone
Section #2 :: Student Information
*First Name:
Middle Name:
*Last Name:
Social Security #:
(required if applying for financial aid)
*Street Address:
*City:
*State:
*Zip:
*Home Phone:
Cell Phone:
AOL Screen Name:
*E-mail Address:
*Date of Birth:
*Gender:
*US Citizen:
Country of Origin:
*Marital Status:
Spouse's Name:
*Ethnic Group (for reporting purposes only):

Parent's Information
Mother's Name:
Mother's Address:
Mother's Phone:
Mother's Employer:
Mother's Occupation:
Mother's College:


Father's Name:
Father's Address:
Father's Phone:
Father's Employer:
Father's Occupation:
Father's College:


First Generation College Student?:


LD/IEP?:
If yes, please explain:

List high school and include dates of attendance or anticipated date of graduation.

*School Name:
School Address
*School City:
*School State:
*School Zip:
Dates Attending (From / To):
Date of Graduation:
CEEB Code:
*Did you participate in post-secondary (dual enrollment) while attending high school?:


Yes No
If yes, where:

What is your current:

GPA:

SAT:

ACT:

Transfer and Post-Bacc Students Only:

List all colleges, universities, and other post-secondary institutions attended. Include school name, city, state, zip, dates attended, date graduated, major and degree awarded:

Reason for leaving:

If you are not attending school at the present time, please describe your present activity:

Section #3 :: Academics / Activities
*Plan on Joining Varsity Sports:
Yes No

If yes, please check all that apply: (Football and Baseball for Men only, Volleyball and Softball for Women only)

Soccer Football Volleyball Basketball Baseball Softball

Cross Country Golf Lacrosse Tennis Track & Field Swimming & Diving

Wrestling

*Have you ever been dismissed or placed on probation by a high school or institution of higher education?

If yes, please explain:

Indicate activities, honors, offices held in high school or college, etc.:

List, in order of importance, the influences that led you to apply to Lake Erie College:

*Convicted of a Felony:

If yes, please explain:

*Intended Major:


Please list other colleges you plan to apply for admission:


*Please write a 500 word essay on one of the following:

1. Complete a personal statement about yourself and your future plans.

2. Name and describe a person who has played an influential role in your life and why.

3. Describe an event that has had a significant impact on your life.

4. If you could be in anyone's shoes for a day,
who would it be? Why? What would you do while you were that person?

5. Why do you want to attend Lake Erie College?

*Terms & Conditions

Lake Erie College, in accordance with Title VI of the Civil Rights Act of 1964, operates in a non-discriminatory manner with regards to race, color, age, or national origin. Furthermore, as required by Title IX of the 1972 Education Amendments, Lake Erie College does not discriminate on the basis of sex in its education programs, activities or employment policies. Lake Erie College also provides equal opportunity to qualified disabled persons in accordance with the requirements of the Americans with Disabilities Act.

I certify that this information is true and complete to the best of my knowledge. Falsification of information on this application could jeopardize acceptance and enrollment. I authorize any schools and colleges I have previously attended to release personal, financial and academic information to Lake Erie College. Further, I agree that my college grades will be used for statistical studies or sent to my high school for evaluation purposes.