Thames at Mitchell College Application

Section 1

First Name

Middle Name

Last Name

Preferred Name

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

I consent to be contacted by Mitchell College at the mobile phone number provided.

Terms and Conditions - Mitchell College

I consent to be contacted by Mitchell College at the mobile phone number provided.

Terms and Conditions - Mitchell College

Yes

No

Email Address

Please confirm your email

Birthdate

Legal Sex

Pronouns

Other Pronouns

Primary Citizenship

*Do you have permanent residency status?

Yes

No

*Please provide your Alien Registration Number ("A-Number")

Race (optional)

Hispanic (optional)

Section 2

Semester you wish to enroll

I would be interested in learning more about the online option for this program

Yes

No

*(Hidden) Admission Plan

*(Hidden)
Are you interested in applying to the Thames at Mitchell College program? This program is a pre-college transition program for students who are "college able but might not be college ready." It is for students with learning differences or who would benefit from additional preparation to succeed in college. (Please note this program is not eligible for financial aid)

Section 3

Year of High School Graduation

Most Recent School attended

School CEEB Code

School Counselor first name

School Counselor last name

School Counselor email

Why are you interested in attending Thames at Mitchell College?

Please tell us more about yourself so we can get to know you better.

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.

Veteran or Military Dependent Status

Section 4

What extracurricular activities have you been involved in? (Ex. sports, clubs, work, volunteer, family responsibilities, community service)

Activity #1 - Please describe in detail

Activity #2 - Please describe in detail

Activity #3 - Please describe in detail

Activity #4 - Please describe in detail

Activity #5 - Please describe in detail

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 text box provided.

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 convicted of a misdemeanor, felony or other crime?

Yes

No

If you answered Yes to either question, please provide a brief explanation.

Optional Parent/Guardian Information

Parent 1 Type

Parent 1 First Name

Parent 1 Last Name

Parent 1 Email

Parent 1 Phone

Parent 2 Type

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone

Check that your form is complete and click Submit.

In consideration of the undertaking by the Office of Admission to process this information, the applicant agrees that the information furnished on the Application for Admission form, together with all information on materials of any kind received by the Office of Admission from any source, or prepared by anyone at its request, shall be, to the extent permitted by federal law, completely confidential and shall not be disclosed to anyone, including the candidate and family, except that the Chief Enrollment Officer may, for official purposes at his/her discretion, disclose any part or all thereof to such person or persons as he/she deems advisable.

Mitchell College reserves the right to deny admission to any applicant who, in the College’s judgment, does not qualify for admission. The College also reserves the right to require withdrawal of any student at any time of the year who does not satisfy the ideals of citizenship, character, or scholarship.

In accordance with the terms and conditions set forth in its publications or any changes, and if accepted, in consideration thereof, I agree, so long as I am a student, to abide by the rules and regulations set forth in the publications and in the student handbook. I agree to accept and be bound by the provisions in those publications for the payment of all tuition fees, and charges for books and supplies, such obligation to survive my status as a student. I realize the publications and the student handbook may be changed by Mitchell College.

It is also agreed that the college has permission to use in its materials and promotions (printed and digital) any college photograph, audio/video, and/or transcripts/text of my words in which this applicant/student may appear, with or without the inclusion of their name.

I certify that all information submitted in the admission process – including the application, the personal essay, and any other supporting materials – is my own work, factually true, and honestly presented, and that these documents will become the property of Mitchell College and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or revocation of course credit, grades, and degree, should the information I have certified be false.

I understand that, prior to enrolling at Thames at Mitchell College, the following requirements must be met: satisfactory health clearance, satisfactory completion of all in-progress courses, receipt of final grades for this academic year comparable in quality to that upon which the offer was based, and verification of high school completion and honorable dismissal.

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