Non-Traditional Application

Round (hidden)

Staff Assigned (hidden)

Round always create (hidden)

Yes

App Submitted Flag (hidden)

Yes

Generate PIN (hidden)

Personal Background

Name

First (Given)

Middle

LEGAL Last (Family)

Suffix

Preferred First

Other Last Names Used

Email Address

Address

Mailing Address

Country

Street

City

Region

Postal Code

Telephone Numbers

Primary Phone

Mobile Phone

May Florida College text you?

Biographical Information

Gender

Birthdate

Age

Marital Status

Social Security Number

Program Information

Academic Questions

Are you seeking a degree?

Yes, I am seeking a degree.

No, I am just taking additional classes.

Have you attended Florida College before?

Yes, I am returning.

No, I have never attended.

Have you received any college credit(s) at an institution other than Florida College?

Yes

No

How many institutions other than Florida College have you received credit(s) from?

School 1 Name (other than Florida College)

School 1 CEEB

Start Date:

End Date:

School 2 Name (other than Florida College)

School 2 CEEB

Start Date:

End Date:

School 3 Name (other than Florida College)

School 3 CEEB

Start Date:

End Date:

School 4 Name (other than Florida College)

School 4 CEEB

Start Date:

End Date:

School 5 Name (other than Florida College)

School 5 CEEB

Start Date:

End Date:

Expected Entry Semester

What program interests you?

Additional Information

Disciplinary Questions

Have you ever been charged with or subject to disciplinary action for a scholastic or any other type of misconduct at any educational institution (high school or later)? *

Yes

No

Have you ever been charged with a violation of law which resulted in probation, community service, a jail sentence, or the revocation or suspension of your driver’s license (including a traffic violation which resulted in a fine of $200 or more)? *

Yes

No

Are you currently on academic suspension at another college or university? You must be eligible to return to that college before you can be admitted to Florida College. *

Yes

No

Housing Status

Housing Preference
All students must complete the Housing Form regardless of choice.

Preacher

Are you a full time, local Tampa area preacher, planning to take no more than one class each semester?

Yes

No

Please provide contact information for a reference from your current congregation to verify your position as a local preacher in the Tampa area.

Contact First Name

Contact Last Name

Contact Phone

Contact Email