Application for Admissions

Text or Call 304-841-0112 for assistance. This Application is not to be used for Dual Enrollment and DMAPS students.

At GSC, we want to make the application process is as quick and easy as possible.

The following questions will allow us to provide a custom application designed just for you!

-

Are you apply to our High School Dual Enrollment program? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

This application IS NOT intended for Dual Enrollment Students. Please use THIS LINK to be re-directed to the Dual Enrollment Application.

Design your custom application by answering these questions:

Student First Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Middle Initial {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Student Last Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Student Preferred Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Suffix {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Other Names Used (if any): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Birthdate {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Age {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Citizenship {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Legal Sex {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Gender Identity {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Preferred Pronoun {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Term applying for... {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Applying as a... {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

At the end of the application process you will be prompted for an Application Waiver Code.

Please use the waiver code: #PioneerNation.

Additional steps may be required for fully online students.

How many colleges have you taken courses from (including current courses) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you previously attended GSC? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

At the end of the application process you will be prompted for an Application Waiver Code.

Please use the waiver code: PEEP or Readmit.

Will you finish high school graduation requirements with a diploma or GED {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you participate in a sport that is part of your college choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do you participate in any extra-curricular activities {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you interested in Outdoor Adventure activities {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

I currently live with... {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Okay, here's your custom application -- let's begin!

Contact Information

Mailing Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State/Providence {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Zip Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

County {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

International Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Student Primary Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Primay Phone Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Student Secondary Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Secondary Phone Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Student Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

General Information

Social Security Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Social Security Number will be required prior to awarding of financial aid and course registration but is not required for acceptance to Glenville State College.

GSC ID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Marital Status {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Country of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Country of Citizenship {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Visa Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Ethnicity (Check all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

All students with more than 72 college credit hours -OR- residing with an immediate family member within 50 miles -OR- that are 21 years or older must apply and be approved to live off campus. Request to live off campus by submitting a GSC Request to Reside Off Campus Form to the Office of Student Life.

High School / GED Information

High School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

High School City/State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

High School County {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Approximate GED/TASC Completion Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

High School GPA {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

ACT Composit Score {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

SAT Composite Score {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Upload Unofficial High School Transcript (if available) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

College Information - College 1

College Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Credit Hours {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Upload Unofficial Transcripts for any college attended (if available) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

College 2

College Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Credit Hours {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

College 3

College Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Credit Hours {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

College 4

College Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Credit Hours {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

College 5

College Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Credit Hours {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

College 6

College Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Credit Hours {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

College 7

College Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Credit Hours {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

College 8

Credit Hours {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Parent / Guardian / Emergency Contact Information

Primary Emergency Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address (if different than Student Address) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Zip Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Primary Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Primary Phone Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Primary Emergency Contact Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Secondary Emergency Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address (if different than Student & Primary Contact Addresses) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Zip Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Primary Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Primary Phone Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Secondary Emergency Contact Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Additional Information

State of Legal Residence (if different than the State listed as part of your address) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Country of Legal Resident (if not United States) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you been selected for the Hidden Promise Program {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Hidden Promise Scholars are 8th - 12th grade students selected by West Virginia county superintendents and principals. You would have been notified, if you were selected.

Please confirm your selection as a Hidden Promise Scholar {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

At the end of the application process you will be prompted for an Application Waiver Code.

Please use the waiver code #hiddenpromise.

Are any of the following graduates of Glenville State College? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you a Veteran or Active Member of the Military {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

At the end of the application process you will be prompted for an Application Waiver Code.

Please use the waiver code: #thankyou.

Are You the Spouse or Dependent of a Veteran {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Do You Believe You are Eligible to Receive Veterans Benefits {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Have you ever been convicted of a crime {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

You may be required to provide additional information and/or meet with select college administrators operating under strict confidentiality guidelines.

Have you ever been dismissed from an education institution {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

You may be required to provide additional information and/or meet with select college administrators operating under strict confidentiality guidelines.

Please select any sports, currently offered by GSC, that are part of your college choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please select any sports, currently offered by GSC, that are part of your college choice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Are you currently being actively recruited by a member of the GSC Athletic Coaching Staff? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

At the end of the application process you will be prompted for an Application Waiver Code.

Please use the waiver code: #gopioneers.

Please list any sports you participate in that are not listed above and not currently offered by GSC {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Extra-curricular activities you are interested in {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Outdoor Adventure of Interest {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Which Magazine {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Which Radio Station {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Which Television Station {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What was the name of the College Fair {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

HAPPY BIRTHDAY! At the end of the application process you will be prompted for an Application Waiver Code.

Please use the waiver code: Birthday

Application Fee

I plan to pay my Application Fee by... {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

You may pay the $20 (U.S. Resident) or $100 (International) application fee by mail to:

Include the student's name and application code of GSC1718 on the check please!

-- OR --

by Calling 304-462-6190

Provide Code: GSC1718

Application Fee Waiver Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Application Fee Waiver Code Accepted!

Here's what we will need from you next...

Upload Items Now (if available) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Here's what we will need from you next...

Upload Items Now (if available) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Here's what we will need from you next...

Upload Items Now (if available) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Legal

By selecting the I Accept the Terms Above - Finish Application button below I authorize my current and/or previous high school and/or colleges to provide official transcripts and test scores to Glenville State College.

Also, I certify that the information provided on this application is complete and accurate to the best of my knowledge. I understand that I am responsible for requesting official high school and college transcripts from all previously attended institutions (high school and/or colleges and universities) and that such transcripts become the property of Glenville State College and will not be returned to me. I also understand that acceptance to the college is subject to verification of official records sent directly from the institutions I have previously attended.

I further undersand that all forms uploaded during the process of completing this application are considered property of Glenville State College and will not be returned to me. Also, all forms uploaded using the utility are considered unofficial and I am required to produce official forms upon request and/or prior to attending Glenville State College.

Notice of Non-Discrimination:

Glenville State College is committed to providing and maintaining a learning and working environment that is free from any form of illegal discrimination or harassment in accordance with federal, state and local law, including Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, Title VI and Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Amendments Act, the Age Discrimination in Employment Act, the West Virginia Human Rights Act and their implementing regulations. Specifically, the College does not discriminate on the basis of sex, age, race, color, national origin, disability, religion, veteran status, or any other characteristic protected by federal, state and local law in recruitment, admission, educational programs, College activities or employment. There will be no retaliation against any individual who makes a good faith report of discrimination or harassment or participates in or cooperates with any investigation of alleged discrimination or harassment.

The following person has been designated to handle inquiries regarding the College non-discrimination policies: Tegan McEntire, Chief Human Resources Office, Glenville State College, 200 High Street, Glenville, WV 26351. 304-462-6193 and tegan.mcentire@glenville.edu. Additionally, you may contact the United States Education Office for Civil Rights at U.S. Department of Education, Office for Civil Rights, Lyndon Baines Johnson Department of Education Building, 400 Maryland Avenue, SW, Washington, DC 20202-1100. Telephone: 800-421-3481; Fax: 202-453-6012; TDD: 877-521-2172; Email: OCR@ed.gov

Application for Admissions

At GSC, we want to make the application process is as quick and easy as possible.

The following questions will allow us to provide a custom application designed just for you!

-

Design your custom application by answering these questions:

Okay, here's your custom application -- let's begin!

Contact Information

General Information

High School / GED Information

College Information - College 1

College 2

College 3

College 4

College 5

College 6

College 7

College 8

Parent / Guardian / Emergency Contact Information

Additional Information

Application Fee

Application Fee Waiver Code Accepted!

Here's what we will need from you next...

Here's what we will need from you next...

Here's what we will need from you next...

Legal

Application for Admissions

Your progress has been saved.

Application for Admissions

At GSC, we want to make the application process is as quick and easy as possible.

The following questions will allow us to provide a custom application designed just for you!

-

Design your custom application by answering these questions:

Okay, here's your custom application -- let's begin!

Contact Information

General Information

High School / GED Information

College Information - College 1

College 2

College 3

College 4

College 5

College 6

College 7

College 8

Parent / Guardian / Emergency Contact Information

Additional Information

Application Fee

Application Fee Waiver Code Accepted!

Here's what we will need from you next...

Here's what we will need from you next...

Here's what we will need from you next...

Legal