Non-Degree Application for Admission

Applicant Information

First Name

Middle Name

Last Name

Preferred Name

Email Address

Birthdate

Social Security Number (omit dashes)

Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Are you Hispanic or Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Course Information

When do you plan to enroll at Maryville College?

Please describe the course(s) that you are intend to take at Maryville College to the best of your ability, including the course name(s) and the days/time the course(s) is offered, if known.
The Schedule of Courses at Maryville College is available here: https://www.maryvillecollege.edu/academics/registrar/course-schedules/

Are you seeking college credit for participation in this course(s)?

Campus Safety Standards

Maryville College is committed to maintaining a safe environment for all members of our community.

1. Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.

Yes

If you answered "yes" to the question above, please provide a detailed and thorough explanation below, including dates, specific circumstances and outcome.

2. Have you ever been found responsible in a Title IX investigation, proceeding, or complaint?

Yes

Have you ever left an educational institution while a Title IX investigation, proceeding, or complaint was still open against you?

Yes

Please provide additional information regarding the investigation/incident.

3. Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime?

Yes

Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.

Please provide a detailed and thorough explanation below, including dates, specific circumstances, and outcome.

4. Do you have any criminal charges pending against you?

Yes

Please provide a detailed and thorough explanation below, including dates, specific circumstances, and outcome.

You must promptly notify the Maryville Admissions Office in writing of any criminal charge, any disposition of a criminal charge, or any school, college, or university disciplinary action against you, or any type of of military discharge other than an honorable discharge, that occurs at any time after you submit this application. Failure to do so will be grounds to deny admission, rescind an offer of admission, or to dismiss you after enrollment.

Application Submission

Please Note:
Maryville College does not discriminate on the basis of race, color, gender, ethnic or national origin, religion, sexual orientation, age, disability, or political beliefs in its admission procedures and educational programs. At Maryville College we respect your privacy. Any information you provide to us will be used solely for admissions purposes. In response to the Student Right-to-Know Act, information regarding campus security as well as graduation and persistence rates may be obtained by contacting the Office of Admissions, Maryville College, Maryville, TN 37804-5907

By submitting this form, you confirm that the information provided is accurate and truthful to the best of your knowledge. In place of your signature, please type your full legal name:

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