If you are matched to one of our restricted funds, will you be willing to write a short note to the donor(s) of the fund? *
Personal Information
Legal First Name *
Legal Last Name *
Legal Middle Name
Email address * (include full email address)
What year do you anticipate graduating from MHC?
What is your anticipated major? *
AFRAM - Afr. Amer.& African Studies AMST - American Studies ANTHR - Anthropology ARTH - Art History ARTST - Art Studio ASIAN - Asian Studies ASTR - Astronomy BIOCH - Biochemistry BIOL - Biological Sciences CHEM - Chemistry CLASS - Classics COMOR - Complex Organizations COMSC - Computer Science CST - Critical Social Thought DANCE - Dance ECON - Economics EDUC - Education ENGL - English ENVST - Environmental Studies EURST - European Studies FLMST - Film Studies FREN - French FRTRL - First-Year Tutorials GEOG - Geography GEOL - Geology GREEK - Greek GRMST - German Studies HIST - History INDPT - Interdepartmental IR - International Relations ITAL - Italian JWST - Jewish Studies LATAM - Latin American Studies LATIN - Latin MATH - Mathematics MEDST - Medieval Studies MUSIC - Music NEURO - Neuroscience & Behavior PE - Physical Educ. & Athletics PHIL - Philosophy PHYED - Physical Educ. & Athletics PHYS - Physics POLIT - Politics PSYCH - Psychology RELIG - Religion RES - Russian & Eurasian Studies ROMLG - Romance Lang. & Literature SPEC - Special Major SOCI - Sociology SPAN - Spanish STAT - Statistics THEAT - Theatre Arts WOMST - Women's Studies Undecided
What is your anticipated minor? *
AFRAM - Afr. Amer.& African Studies AMST - American Studies ANTHR - Anthropology AFRST - African Studies ANCST - Ancient Studies ARTH - Art History ASIAN - Asian Studies ASTR - Astronomy BIOL - Biological Sciences CHEM - Chemistry CLASS - Classics COMOR - Complex Organizations COMSC - Computer Science CST - Critical Social Thought DANCE - Dance ECON - Economics EDUC - Education ENGL - English ENVST - Environmental Studies EURST - European Studies FLMST - Film Studies FREN - French GEOG - Geography GEOL - Geology GREEK - Greek GRMST - German Studies HIST - History ITAL - Italian JWST - Jewish Studies LATAM - Latin American Studies MATH - Mathematics MEDST - Medieval Studies MUSIC - Music PHIL - Philosophy PHYED - Physical Educ. & Athletics PSYCH - Psychology POLIT - Politics RELIG - Religion RES - Russian & Eurasian Studies RESL - Russian Language & Literature SOCI - Sociology SPAN - Spanish SPEC - Special Minor STAT - Statistics THEAT - Theatre Arts WOMST - Women's Studies No Minor
Permanent home address
Do you have a handicap/disability?
If yes, please describe
Are you intending to attend graduate school?
If yes, what field/major (do not abbreviate)?
Are you planning a career as (check all that apply)
Education Information
What High School did you attend? Please spell out all names, do not use abbreviations, i.e.: Holyoke H.S. should be spelled out Holyoke High School.
Which of the following best describes the type of high school you attended (check one answer)
Are you a transfer student?
If yes, what school did you transfer from? Please spell out all names, do not abbreviate.
Family History
What is your country of citizenship?
Place of Birth
If you are an American Citizen, do you consider yourself to be
American Indian or Alaskan Native Asian, Asian American, or Pacific Islander Mexican American or Chicano Puerto Rican Latin American, South American, Central American, or other Hispanic Black or African American White Other
Would you claim to be of (please answer yes or no for each category)
What is your preferred religious affiliation?
No Religion Bahai Buddhist Catholic Hindu Jewish Muslim Protestant Unitarian Universalist Pagan/Wiccan Other Religion
Are either of your parents teachers in a high school, junior high, middle school or elementary school?
Are either of your parents members of the clergy?
Are either of your parents officers in the Army?
Are 2 or more of your family members attending an institute of higher education?
What is the highest level of education your mother completed through graduation?
Dropped out before completing High School Received GED High School 2 year college 4 year college graduate degree
What is the highest level of education your father completed through graduation?
Dropped out before completing High School Received GED High School 2 year college 4 year college graduate degree
Were any of your parents or grandparents missionaries? (please answer yes or no for each category)
Do you have any relatives who have attended/are attending Mount Holyoke?
If yes, who
Tell Us More About You
Have you participated in the junior year abroad program?
If so, please provide information on the country, university or college attended, and area of study.
Have you received any academic awards/recognition?
If yes, please list:
Have you/do you belong to any campus/student organizations/clubs/MHC sports teams?
If so, please list and note any offices held i.e., Treasurer, Editor, etc. AND the year of membership (i.e. sophomore year).
If you have participated in any internships/on-campus jobs/volunteer activities, please detail below:
What are your plans for the upcoming summer?
What are your post-graduation plans i.e. work, travel, internship, graduate school?
