Houghton College Re-Application

Houghton, NY 14744 · 800-777-2556 · admission@houghton.edu

Please note: questions in red are required.

Name

Last

First

Middle
   
Present Address
Street City State/
Province		 Zip/
Postal Code 		 Month/Day/Year
Until:
Present Phone # Country

  E-mail Address


 

  
Permanent Address
Street City State Zip 

Permanent Phone #

   Country
 
Birth Date (MM/DD/YYYY) Social Security Number
Marital Status: Maiden Name
Gender:


Male

 
Female

 Country of Citizenship
Church Affiliation
When do you plan to attend Houghton?
Spring  Fall  

Check all that apply


 Dorm


 Commuter


 Full-time


 Part-time

 
Faculty/Staff Dependent

Are you applying elsewhere? 
Yes  No   If yes, where?

Have you decided on an academic major? 
Yes  No   If yes, what?

What are your tentative career goals?

Select one of the following: 
I applied to Houghton, but never attended.   I attended Houghton, but withdrew.

Please complete if you previously attended Houghton

Date of previous attendance: 
From to

Month Year Month Year

What were your reasons for withdrawing from Houghton?

Please complete if you've attended other colleges

Date of previous attendance: 

College
City, State


Years Attended

College
City, State


Years Attended
     

Why did you leave that institution?

What are your reasons for reapplying to Houghton?
 

If a semester or more has elapsed since you last attended school, how have you spent your time? (Please be specific)

Please give a brief statement of your present relationship with Jesus Christ.
 

Character References: Please provide the names of two individuals whom we may contact for references.
Pastor/Church worker Address Phone number
     
Teacher or Employer Address Phone number
     

Acknowledgment of Community Responsibility

I acknowledge that I have read the Responsibilities of Community Life* and that I willingly accept these responsibilities while a student at Houghton College. I further agree, while enrolled at Houghton College, to abide by all college policies, including but not limited to the examples that follow: academic policies; residence hall and housing policies; room contracts; space use policies; computer use policies; general policies regarding co-curricular life; athletic policies, etc. I understand that if I do not abide by these responsibilities, expectations, and policies disciplinary action may result.

I agree to withdraw my enrollment if I am unable to honor and abide by these responsibilities, expectations, and policies.

*View the Responsibilities of Community Life in their entirety.

Signature:     

Re-application Procedure:

ALL applicants must:

1.  Complete this application and return it to the Office of Admission, Houghton College, Houghton, NY 14744

2.  If you've attended another college since your previous application to Houghton,
please forward an official transcript to the Admission Office.