Online Application

* Indicates a required field

If you have previously attended Young Harris College please click here to complete the Application for Readmission

For international students, please use this application Foreign Student Application

Personal Information
Prefix *  
First Name *  
Middle Name  
Last Name *  
Suffix  
Preferred Name *  
Social Security Number
(numbers only, do not include hyphens)


Retype SSN


PLEASE NOTE: Financial aid awards cannot be processed without this number.
Demographic Information
Gender *  
Ethnicity  
Marital Status  
Religious Affiliation  
Indicate your eligibility for Veterans Education Benefits.
Birth Date *  format: mm/dd/yyyy  
Have you ever been officially reprimanded by school officials or civil authorities?

If yes, please explain
 
Citizenship Information
Are you a US Citizen?



 
 
Visa  
Address Information
Address Line 1 *  
Address Line 2  
City *  
State *  
Zip Code *  
Country  
Contact Information
Email Address  
Home Phone Number
Is your Home phone outside the United States?

   
 
Mobile Phone Number
Is your Mobile phone outside the United States?

  
 
Enrollment Information
Please indicate the term and year you wish to enroll at YHC *  
Please indicate your intended degree and major *

 

 
Where do you plan to reside?
 
Please indicate your status



 
Who influenced your application?

Name

 
Activities
What activities have you been involved with?
Category   
Activity  
 
Parents / Guardians
Father's Information
Status:   If either are checked, the following fields are not required.
First Name *
Middle Name *  If no middle name, enter "none"
Last Name *
Suffix
Daytime / Work Phone *
Evening / Home Phone *
Email Address *
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
Country *
College *
Occupation *
Employer *
Mother's Information
Status:   If either are checked, the following fields are not required.
Prefix *
First Name *
Middle Name * If no middle name, enter "none"
Last Name *
Suffix
Daytime / Work Phone *
Evening / Home Phone *
Email Address *
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
Country *
College *
Occupation *
Employer *
Additional Family Information
Please list names and ages of siblings dependent on your parents:
High School Information
Institution Name *  
City *  
State *  
Country  
Graduation Date *  format: mm/dd/yyyy  
Transfer / Transient Student Information
This section is for transfer or transient students only. Please click on the 'add' button to the right and list all colleges/universities you have previously attended or are currently attending.
 
Your Selections
1.
2.
3.
Additional Information
Please list all other colleges to which you are applying
Please separate entries with a comma
 
     
     




College / University Entry Form


Name of Institution     Date of Graduation    


City     State     Country