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Take Grace College courses while in High School

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*On campus.

Your Information

First Name*

Last Name*

Suffix

Preferred First Name

Gender*

Gender*

Female

Male

Birthdate*

Birthdate*

Email Address*

Mobile Phone Number*

Can Grace College send you important updates via text?* (Standard messaging rates apply.)

Can Grace College send you important updates via text?* (Standard messaging rates apply.)

Yes

No

Permanent Address*

Country

Street

City

Region

Postal Code

Is your mailing address the same as your permanent address?*

Is your mailing address the same as your permanent address?*

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Citizenship*

Social Security Number (no dashes, periods, or spaces)*

Ethnicity
For reporting purposes only. This information does not impact your admission decision.

Ethnicity
For reporting purposes only. This information does not impact your admission decision.

Hispanic

Non-Hispanic

Race
For reporting purposes only. This information does not impact your admission decision.

Race
For reporting purposes only. This information does not impact your admission decision.

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Family Information

Relationship*

Parent First Name*

Parent Last Name*

Parent Email Address*

Does this person live with you?*

Does this person live with you?*

Yes

No

High School

High School Name*

High School CEEB (hidden)

Level of study (hidden)

Graduation Year*

I am currently a high school student.*

I am currently a high school student.*

Yes

Your Guidance Counselor
Please provide the following information about your high school guidance counselor. Once you submit your application, an e-mail will be sent to your counselor alerting him or her to the steps required to help you complete your application.

Counselor's First Name*

Counselor's Last Name*

Counselor's Email Address*

Relation Type (hidden)

Enrollment Plans

Enrollment Term*

Enrollment Term*

Spring 2025

Fall 2025

App: F25 Round (hidden)

App: S25 Round (hidden)

Lifestyle Commitment and Notice of Nondiscrimination

Please read our Notice of Nondiscrimination.

I agree to abide by the Lifestyle Commitment while on campus or engaged in any Grace academic or extracurricular activities.

I certify that all information given on this application is complete and accurate. I understand that falsification of any part of this application or any behavior contrary to Grace’s mission or values may result in rescinding of admission, dismissal from the college or other appropriate disciplinary action. I also grant my school(s) permission to release my transcript(s) to Grace College.*

I agree

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Winona Lake, Indiana 46590

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