EMU Lancaster Application for Early Enrollment

This form is for high school students who are participating in EMU's Early Enrollment program. All eligibility requirements must be met before you will be permitted to participate in any courses. Please contact your high school for more information.

Personal Information

Prefix

First Name

Note: If you are an international student, please enter your name exactly as it appears on your passport

Middle Name

Last Name

Suffix

Preferred First Name

Former Last Name(s)

Gender

Gender Identity

EMU collects 'Gender Identity' in addition to gender for reporting because the options mandated for reporting are not comprehensive of all genders. Read more here.

Pronouns

How would you like to be referred to in third person? All members of the EMU community strive to/are expected to use campus names and pronouns as indicated by each individual. (e.g. he/him/his, she/her/hers, they/them/theirs) - Read more about pronouns at EMU here.

Date of Birth

Marital Status

Social Security Number

Please enter your nine-digit Social Security Number with no extra characters. Social Security Number is not required at this time but recommended to expedite the financial aid process

Mobile Phone Number

Include country code for numbers outside USA and Canada. Your phone number is the primary way that EMU will communicate with you. Please provide the best number to reach you.

Home Phone Number

International Phone Number

May we contact you via text messaging?

Citizenship

Citizenship Status

Country of Citizenship

Visa Type?

Alien Registration Number

Address(es)

Please add your permanent address below. If you have additional addresses to add, please click 'Add another address'.

Address Type

Country

Street Address

Street Address Line 2

City

State/Province

Postal Code

Ethnicity Details

Federal reporting regulations require that we report the ethnic composition of our student body. This will in no way affect the admission decision.

Do you consider yourself to be Hispanic/Latino?

Select one or more of the following racial categories to describe yourself:

Lead Owner ID

Your Plans

Your Plan Information

When do you intend to enroll at Eastern Mennonite University?

not all programs offer spring and/or summer enrollment

Your intended program of study is:

This is not editable. If this is incorrect, please do not use this form to submit your application.

Are there schools other than EMU that you are considering?

Yes

Are there schools other than EMU that you are considering?

Yes

What is the 1st college / university other than EMU that you are considering

What is the 2nd college / university other than EMU that you are considering

What is the 3rd college / university other than EMU that you are considering

Is English your first language?

Yes

Class Selection

Please use the following link to review and select up to 3 courses:
https://emu.edu/lancaster/gened/enrollment/courses

Enter in the information below.

Term Name 1

Course Code 1

Course Name 1

Term Name 2

Course Code 2

Course Name 2

Term Name 3

Course Code 3

Course Name 3

Your Family

Do you have parent(s)/guardian(s) information you want to include?

YesNo

Parent/Guardian Information

Please provide information about your Parent(s)/Guardian(s) below. To add additional individuals please click on 'Add another parent/guardian' below. If you do not have a Parent/Guardian to enter, please select 'Not Applicable'.

Relationship

Salutation

First Name

Last Name

Suffix

Occupation

Email Address

Parent Mobile Phone Number

Parent Home Phone Number

This individual is an alum of EMU.

This individual is employed by a Mennonite school. This includes a College, University, High School or Elementary school.

Employer's Name

Same mailing address as applicant?

YesNo

Country

Street Address

Street Address Line 2

City

State/Province

Postal Code

Almost Finished

How did you first learn about EMU?

Acknowledgement

As an applicant to this program, I acknowledge that I have read and understand the essential qualifications.

I acknowledge that I am capable of performing the abilities and skills outlined in this document with or without reasonable accommodation and understand that my status as a student in this program depends on my continued ability to successfully demonstrate these abilities and skills.

I understand that if I am no longer able to meet these essential qualifications I will immediately notify the program director.

Initial below to confirm that you have read and understand the program admission criteria as posted on the EMU website

I hereby certify that the information given by me on this application form is complete and truthful. I understand that if any information furnished by me is found to be untrue, I may be denied admission, or if admission has been granted, I may be subject to disciplinary action, including dismissal from Eastern Mennonite University.

Please type in your full name here. This shall represent your signature.