List high school and include dates of attendance or anticipated date of graduation.
*Guidance Counselor's Name
*Year of Graduation:
Dates Attending (From / To):
*Did you participate in post-secondary (dual enrollment) while attending high school?:
If yes, where:
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:
If you are not attending school at the present time, please describe your present activity:
Are you or your parents a Veteran of the United States Military?:
Are you eligible for any Military Educational Benefits?:
*Plan on Joining Varsity Sports and/or Spirit Activities:
Track & Field
Swimming & Diving
Student Glee Club
If yes, please check all that apply: (Football and Baseball for Men only, Volleyball and Softball for Women only)
*Have you ever been dismissed or placed on probation by a high school or institution of higher education?
*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:
*How did you first learn of Lake Erie College?:
*Convicted of a Felony:
*Intended Major (Note: * Denotes Concentration):
Please list other colleges you plan to apply for admission:
1. Tell us about a significant experience, achievement,
*Please write a 500 word essay on one of the following:
or risk you have taken and its influence on you.
2. Discuss some event of a personal, local, national,
or international importance and its impact on you.
3. Name and describe a person who has played an
influential role in your life and why.
4. Describe a character in fiction, a historical figure,
or a work of art that has influenced you or has had
an influence on you, and explain that influence.
5. Given your personal background, describe an
experience that illustrates what you would bring to
the diversity of a college community, or an encounter
that demonstrated the importance of diversity to you.
6. Topic of your choice.
*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.