Chatfield College

"Serving to Create Opportunities"

 

Home

President's Message

About Chatfield
 *  Mission Statement
 *  Overview
  *  Faculty & Staff
  *  St. Martin Campus
     *  Directions
 *  North Fairmount Campus  
     *  Directions

Admissions
  *  Fast Facts
  *  Student Registration Instructions
  *  How to Apply
 *  Admission Application
 *  Online Application
  *  Employer Tuition Reimbursement
  *  Post Secondary Students
Financial Aid
  *  Who is Eligible?
  *  How to Apply and Deadlines
 *  Types of Financial Aid
 *  Student Account Billing Guide
  *  Frequently Asked Questions

Resources & Services
 Calendars:
 *  Academic Calendar - 2005-2006
 *  Calendar of Events
 Catalog:
 *  Catalog - 2005-2006
 Other Services:
 *  Advising & Career Services
 *  Chatfield College Library
  *  Documents, Applications,
    Downloads & Links
 Schedules:
  *  Schedule - Summer 2006
Textbooks:
  *  Textbooks -Summer 2006

Giving Opportunities
  *  Giving Opportunities
 *  Annual Fund & Matching Gifts 
 *  The Miriam Society
 *  Volunteering
 *  Annual Fund Donation



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 Admission Application  
Intended Entry Term / Year
Campus Attending:  St. Martin Cincinnati Other site

PERSONAL DATA

Legal Name
Last First Middle Maiden
Social Security Gender Female Male
Home Address  
Number, Street name, Apt. number
 
City State Zip Code
Phone   Alt. Phone
Birthdate Birthplace
City State Country
Citizenship U.S.
U.S./Dual Citizenship
U.S. Permanent Resident : #A
Other; specify country and

                       Visa Status:

EDUCATIONAL GOALS (Please check all that apply)

Chatfield associate degree Bachelor's or associates degree elsewhere
Not seeking a degree

OPTIONAL

Religious Preference Marital Status
Ethnicity; use line to further clarify, if desired.
Black, Non-Hispanic Hispanic
American Indian, Alaskan Native White, Non-Hispanic
Asian American, Pacific Islander Non-Resident Alien
Other:

EQUAL OPPORTUNITY POLICY:

Chatfield College subscribes to Equal Opportunity/Affirmative Action guidelines and does not discriminate in its education programs or activities on basis of race, color, creed, sex, national origin or handicap, in accordance with both Title IX of the 1972 Education Amendments and Section 504 of the Rehabilitation Act of 1973.  Inquiries regarding compliance with the Title IX and Section 504 may be directed to Chatfield College, 20918 St. Rt. 251, St. Martin, OH 45118-9705; Phone 513.875-3344.