University ID:

First Name: Last Name :

Street Address:

City:

State:

Zip Code:

Phone Number:

E-mail Address:

Potential Majors:

Are you a "First Generation" College Student (the first person in your family to graduate from a 4-yr institution):
Yes No

First Choice Learning Community Topic:

Creativity & Performance
Global Awareness
Making Music (Prior admission to the School of Music REQUIRED)
Nursing Profession
Social Service Professions
Science & Health Professions
Entrepreneurship and Business
Teaching as a Profession

Second Choice Interest Group Topic:

Creativity & Performance
Global Awareness
Making Music (Prior admission to the School of Music REQUIRED)
Nursing Profession
Social Service Profession
Science & Health Professions
Entrepreneurship and Business
Teaching as a Profession

1. What can you contribute to other students in a Interest Group that will benefit their academic, social, and/or personal success and make the community a valuable experience for all? (For example, any unique experiences, abilities, skills, knowledge and/personal characteristics that you possess)

2. What benefits do you expect to get from being part of a Interest Group both academically, (as a student), and personally as an individual?

3. What are you like and what do you see as your best qualities as a person?

4. Describe how you deal with a challenges or disappointments (demanding assignments, time crunches, changes in plans and schedules etc)

5. Describe any team situations you worked in, describe how you related to others in that situation and tell how you contributed to the teams success.

6. Each Interest Group is focused on a particular topic or theme and requires enrolling in particular courses about that topic or theme. So, tell us why you chose the particular Interest Group topics that you have selected on this application?

7. How did you hear about Grogan College?
Web Page
Admissions Event
Post Card or Mailing
E-Mail
Word of Mouth
Other (please explain)

List the clubs and other activities that you participated in during High School on a regular basis, and explain your role in the activity.

List 3 references that we may contact (at least one must be a teacher) and provide their phone and email information