Unique Minds Mobile Application

Section 1

First Name

Middle Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

Email Address

Please confirm your email

Birthdate

Gender

Primary Citizenship:

Section 2

Semester you wish to enroll

Do you plan to be a resident student or commute?

Do you plan to take classes full time or part time?

Have you or Do you plan on filling out the FAFSA?

Intended Major

Student Type

Are you interested in applying to the Thames at Mitchell College program? (for Freshman applicants only)

Interested

Not Interested

Section 3

Current School you attend

School CEEB Code

School Counselor first name:

School Counselor last name:

School Counselor email:

Why are you interested in attending Mitchell College?

Please enter your current Grade Point Average (GPA) at your current school.
NOTE: Self-reported GPAs may be used in admission decisions and must be supported by official school transcripts sent to Mitchell College in order to finalize an Admit decision. Discrepancies may result in further file review or the reversal of an Admit decision.

Section 4

What Activities/Clubs would you like to participate in at Mitchell College?
Activity #1:

Activity #2:

Activity #3:

Activity #4:

Select your sports interests here, if applicable:
Sport #1:

Sport #2:

Section 5

In this section, please simply answer Yes or No to the following questions. If either answer is Yes, please provide a written explanation in the open text box below.

Have you ever been found responsible for a disciplinary violation at any school, college, university or program that resulted in probation, suspension, removal, dismissal or expulsion?

Yes

No

Have you ever been arrested, charged with or convicted of a misdemeanor, felony or other crime?

Yes

No

If Yes, please provide a brief explanation.

Optional Parent Information

Parent 1 First Name

Parent 1 Last Name

Parent 1 Email

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Check that your form is complete and click Submit.

By clicking Yes, you confirm that the information you have provided on this Mobile Application is complete and true to the best of your knowledge.