WHAT ARE YOUR PLANS?
For which term are you applying for admission?
 Fall 2007

You are a:
 Freshman Student  Transfer Student

What is your planned college residence status? 
 Resident/On-campus  Commuter/Off-campus
(Please refer to http://www.lycoming.edu/admiss/reslife.htm for more information regarding Lycoming College's residency policies.)

Do you intend to apply for need-based financial aid?
 Yes  No
(If Yes, please complete the LFAA)

What is your planned enrollment status?
 Full-time  Part-time

Have you ever applied for admission to and/or attended Lycoming College?
Yes  No
If Yes, when?

Would you like to be considered for Lycoming academic scholarships?
Yes                  No

Do you intend to apply for any of the following Lycoming talent scholarships?  (For incoming freshman students only.)
Community Service
Choir
     Please indicate voice part:
Band
     Please indicate instrument:

Possible college major(s): (If undecided, please indicate)

Possible career choice(s):

WHO'S TALKING ABOUT US?
Who encouraged your interest in Lycoming College?   
Is this person a(n): (select all applicable)
Friend
Relative
Alumnus of Lycoming
Counselor
Lycoming coach
Current Lycoming student
Other

Did you hear about Lycoming through:
Mailings
Word of mouth
High school visit
College night
Other

Have you visited Lycoming's campus?
Yes  No
If Yes, for what purpose?

EDUCATIONAL HISTORY
List all high schools and colleges attended, beginning with the most recent. Include date(s) of graduation or anticipated date of graduation.

TELL US ABOUT YOUR FAMILY
If you are married or were born before January 1, 1981, you do not need to complete family information.

Father:
Name:
Occupation:
Employer:
Colleges attended:

Mother:
Name:
Occupation:
Employer:
Colleges attended:

Parent's email:
With which parent do you reside?
Both     Father     Mother     Other:
To whom should parent information be mailed:
Name(s):
Street address:
City:
State:
Zip:

List all brothers/sisters currently attending school (grades 9-12):
Name:
Year of high school graduation:
Mailing address (if different from yours):
Street address:
City:
State:
Zip:
Name:
Year of high school graduation:
Mailing address (if different from yours):
Street address:
City:
State:
Zip:
Name:
Year of high school graduation:
Mailing address (if different from yours):
Street address:
City:
State:
Zip:
List relatives who are currently attending Lycoming:
Name:
Relationship to you:
Year of graduation from Lycoming:
Name:
Relationship to you:
Year of graduation from Lycoming:

Bragging Rights
List academic honors earned:

Indicate activities in which you have participated: (including clubs, sports, choir, theatre, etc.)

List volunteer and work activities in which you have participated: (organization, positions held, dates)

What do you plan on participating in at college?

PURELY OPTIONAL
You do not have to complete this section. This information is used only for the submission of governmental reports. This will not affect the admission decision.

Ethnic Group:
African-American
American Indian/Alaska Native
Asian/Pacific Islander
Hispanic-American
White, non-Hispanic
Other