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Page 1: APPLICATION - Paul Quinn CollegePaul Quinn College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veter an status. Your application
Page 2: APPLICATION - Paul Quinn CollegePaul Quinn College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veter an status. Your application

2

APPLICATION

CHECKLIST

Completing this application is your first step to joining the Paul Quinn College family and the Quinnite Nation. Our application process is designed to help us learn about your dreams and understand your story. The application is not long, but it does require you to be thoughtful. Therefore, please take your time.

Completed application packet

Minimum grade point average (GPA) of 2.75 on a 4.0 scale for regular admission

A standard score of 650 for each content area of the GED

Application for admission (available at

pqc.edu/apply)

Official ACT/SAT scores (not required for trans-

fer students with more than 15 credit hours)

Official transcript(s) (must be sent from your

high school and all previously attended colleg-

es)

Letter of recommendation

Up to five-minute video that answers two of the

following questions:

Requirements

If you were inviting any five people--past,

present, or future--to dinner, who would

they be and why would they be included?

One of the Four L’s of Quinnite Leadership

states: Live a life that matters. This speaks

to one's personal legacy. What would you

like to be the five words used to describe

your legacy? Please explain why you select-

ed these words.

What is the biggest problem in your neigh-

borhood/city and how would you solve it?

Contact Enrollment Management:

[email protected]

214.379.5449

Contact Financial Aid:

[email protected]

214.379.5497

Send Completed Applications to:

Paul Quinn College

3837 Simpson Stuart Road

Dallas, TX 75241

Complete your online application at www.pqc.edu/apply

Questions?

Page 3: APPLICATION - Paul Quinn CollegePaul Quinn College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veter an status. Your application

3

WHO ARE YOU?

I. Identifying Information

First Name Middle Name Last Name Suffix (i.e., Jr., III)

Mailing Address

City State Zip/Postal Code Country

Home Phone Mobile Phone

Email Address

Date of Birth Social Security Number Gender: Male / Female

III. Race and Ethnicity Information

Disclosure of this information will not affect admission.

Are you of Hispanic or Latino origin? ___ Yes ___ No

Select one or more of the following racial categories to

describe yourself.

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

White

______ Bi- or Multi-Racial (Check all that apply)

II. Background Information

Disclosure of this information will not affect admission.

What is the highest level of educational attainment of

one or both of your parents?

High School

Some College

College Degree

Master’s Degree

Law Degree

Medical Degree

Doctoral Degree

IV. Enrollment Status

Will this be your first time in college since graduating high school?

If you have attended college since graduating high school, have you earned

fifteen credit hours or more?

Will you require financial aid in order to attend Paul Quinn College?

___ Yes ___ No

___ Yes ___ No

___ Yes ___ No

Page 4: APPLICATION - Paul Quinn CollegePaul Quinn College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veter an status. Your application

4

WHO ARE YOU?

V. Citizenship Information

Are you a US Citizen? Yes No

If “Yes,” continue to section V.

If “No,” of what country are you a citizen?

I

If you are not a citizen, do you hold Permanent Resident

status (valid I-551) for the US? Yes No

If “Yes,” enclose a copy of both sides of the per-

manent resident card. Note here the date it was

issued, and continue to section V: / /

If “No,” you are not a US citizen or permanent resident.

Do you have an Application to Register Permanent Resi-

dence (form I-485) pending with the US Citizenship and

Immigration Services (USCIS)? Yes No

If “Yes,” enclose a copy of your Notice of Action

from USCIS, form I-797C, and continue section

V.

If “No,” you are not a citizen or permanent resident and

have no application ending with the USCIS. Have you, or

will you have lived in Texas for at least 36 consecutive

months immediately before graduating from high school

or receiving a GED in Texas? Yes No

If “Yes,” please submit a completed “Affidavit of

Intent to Become a Permanent Resident,” and

continue to section V.

VI. Emergency Contacts

Contact 1

First Name Middle Name Last Name

Mailing Address

City State Zip/Postal Code Country

Email Address Home Phone Mobile Phone

Relationship Occupation/Employer

Contact 2

First Name Middle Name Last Name

Mailing Address

City State Zip/Postal Code Country

Email Address Home Phone Mobile Phone

Relationship Occupation/Employer

Have you ever been on probation (academic or disciplinary) suspended (in or out of school) or dismissed from any

high school or college? Yes _____ No _____ If yes, list and explain fully on a separate sheet.

Have any criminal charges been brought against you? (Exclude charges which have resulted in a finding of not guilty

or complete dismissal.) Yes _____ No _____ If yes, list and explain fully on a separate sheet.

VII. Further Information

Page 5: APPLICATION - Paul Quinn CollegePaul Quinn College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veter an status. Your application

5

WHO ARE YOU?

VIII. High School and Test Information

IX. Previous College Experience

High School Name

City State

Zip/Postal Code Country

High School Code (CEEB) Graduation Year

Current or Most Recent High School GPA

High School Guidance Counselor Name

High School Guidance Counselor Email

Have you taken the SAT or ACT? Yes _____ No _____

If “Yes,” list composite score and date of test:

ACT Composite ___________________, or

SAT Composite ___________________

Date of test / /

If “No,” when is your expected test date? / /

How many institutions of higher education have you

attended prior to PQC? _____________________________

If “0”, proceed to section IX. If you have attended

another college since graduating high school, please

complete section VIII below.

In this section, you must identify every institution of higher education you attended after graduating high school. An official tran-

script from each institution you have attended since high school graduation is required for admission, so please request those

documents now.

College Name City State First Term of Attendance Last Term of Attendance GPA

College Name City State First Term of Attendance Last Term of Attendance GPA

College Name City State First Term of Attendance Last Term of Attendance GPA

College Name City State First Term of Attendance Last Term of Attendance GPA

Page 6: APPLICATION - Paul Quinn CollegePaul Quinn College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veter an status. Your application

6

WHAT ARE

YOUR DREAMS?

X. Why PQC? XI. References

Please submit a letter of recommendation from someone

not related to you. This letter should answer the following

questions:

1. What is this student’s strongest quality or characteris-

tic?

2. What would it take for this student to thrive in a col-

lege environment?

3. What is something we should know about this student

that is not reflected on the application or transcript?

Indicate the name of your recommender here:

______________________________________________________________

If you have a friend, family member, or mentor who is a

current or former PQC student or alum, please list their

name(s) below and the years in which they attended the

College.

_____________________________________________________________

____________________________________________

____________________________________________

____________________________________________

____________________________________________

Briefly share with us your reason for applying to Paul

Quinn College.

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

XII. Intended Enrollment Information

I am applying for ____ Fall Semester 20_____

____ Spring Semester 20_____

I plan to live ____ On Campus

____ Off Campus

I plan to attend ____ Full Time

____ Part Time

Page 7: APPLICATION - Paul Quinn CollegePaul Quinn College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veter an status. Your application

7

WHO WILL

YOU BECOME?

XV. Signature

I grant my high school and/or college permission to release my official transcript to PQC. Furthermore, I certify that all

of the information submitted as a part of this application, is my own work and factually true. I understand that I may be

subject to disciplinary action, including the revocation of my offer of admission or expulsion, should the information I

have certified be false.

Student’s Signature Printed Name Date

Paul Quinn College does not discriminate on the basis of race, color, religion, national origin, sex, age, disability or veter-

an status.

Your application is incomplete until we have received all requested materials. For more information about merit-based

scholarships and need-based financial aid, visit pqc.edu.

Contact: Paul Quinn College / 3837 Simpson Stuart Road, Dallas, TX 75241 / 214.379.5449 Main / 214.379.5448 Fax / 877.346.1063 Toll Free / PQC.edu

You have told us who you’ve been. Now help us see the person you can become. To complete your application, submit a

video up to five minutes in length telling us about yourself and addressing two of the following three questions:

1. If you were inviting any five people--past, present, or future--to dinner, who would they be? Why?

2. One of the Four L’s of Quinnite Leadership states: Live a life that matters. This speaks to one's personal leg-

acy. What would you like to be the five words used to describe your legacy? Please explain why you select-

ed these words.

3. What is the biggest problem in your neighborhood? How would you solve it?

Submit your video to [email protected]. We can’t wait to see your story!

XIV. Video Statement

XIII. Intended Major

_____ Business Administration

___ Accounting

___ Entrepreneurship

___ Fundraising & Philanthropy

___ Management

_____ Health and Wellness

_____ Legal Studies

_____ Liberal Arts

___ Communication

___ Education: Early Childhood – 6th Grade

___ History

___ Mathematics

___ Political Science

___ Psychology

_____ Religious Studies

_____ Undecided