Grayson College Application

Have you ever attended Grayson College? *

Yes

What is the last year you attended?

Seeking Admissions As *

When do you plan on enrolling? *

First Name *

Middle Name

Last Name *

Preferred Name

Address 1 *

Address 2

City *

State *

Country *

ZipCode *

Phone Number *

Is this a mobile phone? *

Yes

Email Address *

Alternate Email Address

Social Security Number

Birth Date *

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Education Goal at Grayson College? *

Pathway? *

Area of Study? *

Please select the highest level of your parents' educational background. *

Have you attended another college or university? *

Yes

Colleges

Do you plan to transfer to another college or university? *

Yes

My signature indicates that I certify that all information provided in the application is true and correct. I understand that information submitted will be relied upon by College officials to determine my status of admission and residency eligibility and give Grayson College permission to contact me via phone, text or email.

Type your name *

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