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INFO
VISIT
APPLY
INFO
VISIT
APPLY
Confirmation of Enrollment Form
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If filling this form out on a mobile device, we recommend doing so in landscape view for the best user experience
* Denotes required field
First Name*
Middle Name*
Last Name*
Gender*
Gender*
Female
Male
Birthdate*
Birthdate*
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Biographical Information
I am a:*
I am a:*
First Year Student
Transfer Student
Returning Houghton Student
How many years of college have you completed?
Contact Information
Mailing Address:*
Mailing Address:*
Country
Street
City
Region
Postal Code
Cell Phone
Email Address
Evening Phone
Mobile Phone
Other Phone
Primary Phone
Email Address*
Email Address
Evening Phone
Mobile Phone
Other Phone
Primary Phone
Emergency Contact Information
Please enter contact information for 2 emergency contacts. When applicable, emergency contacts should include a parent(s) or legal guardian(s).
Emergency Contact 1
First Name*
Last Name*
Phone Number*
Email Address*
Relation to you*
Father
Grandparent
Guardian
Mother
Other
Parent
Sibling
Emergency Contact 2
First Name*
Last Name*
Phone Number*
Email Address*
Relation to you*
Father
Grandparent
Guardian
Mother
Other
Parent
Sibling
Residential Information
I will be a...*
I will be a...*
Resident (living in a residence hall)
Commuter (not living in a residence hall but attending classes in person)
Full Time Student
Full Time Student
Full Time
Part Time
Enrollment Deposit Payment
The deposit is refundable* until May 1 and goes directly toward the cost of attendance.
*
With the exception of Honors at Houghton students. Deposits for Honors at Houghton students are non-refundable, as their deposit secures their spot in Houghton's Honors Program.
Payment Preference
Payment Preference
Pay online from a checking/savings account or credit card
Pay online through Flywire (for Canadian and International students)
Mail a check to Houghton College
I have already submitted my deposit
Congratulations! We can't wait to see you here this fall!
To pay your Enrollment Deposit online, please submit this form and follow the link available on the confirmation screen.
After submitting this form, you will be prompted to pay online through Flywire.
Mail check to:
Admission Office
Houghton College
PO Box 128
Houghton, NY 14744
In the "Memo" area, indicate the name of the student and enrollment deposit (example: Enrollment Deposit for John Smith).
Submit
Houghton College
1 Willard Avenue
Houghton, NY 14744
+1-800-777-2556
+1-585-567-9200
admission@houghton.edu
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