Special Student Application

Houghton College provides an academically-challenging, Christ-centered education. Students from diverse traditions are welcome and encouraged to enroll in courses.

Student Information

First Name (Must use your legal name)

Preferred First Name

Middle Name

Last Name

Maiden Name (if applicable)

Email Address

I am a dependent of a staff or faculty member of Houghton College or Houghton Academy

Yes

No

I am a dependent of:

Houghton Academy Faculty or Staff

Houghton College Faculty or Staff

Please select which category you fit into:

Please explain what why you selected "Other"

I am currently employed as faculty or staff at either Houghton College or Houghton Academy.

Yes

No

Post graduates are students who have a degree and are seeking credit, but not toward a degree.

Senior Citizens must be 65 years of age or older.

I am an alumna/alumnus of Houghton College:

Yes

No

Biographical Information

Mailing Address

Country

Street

City

Region

Postal Code

Birthdate

Gender

Female

Male

Country of Citizenship

Social Security No. (needed for identity verification - omit dashes)

Do you identify as Hispanic or Latino (optional)?

Yes

No

Ethnic Background (Optional)

Please specify your ethnic background (Optional)

Home Phone Number

Cell Phone Number

Religious Affiliation

High School

When will you begin your full-time college studies (after HS graduation):

College Information (if applicable)

Please list the college(s) you have attended and for how long. Also list any degrees obtained.

Have you previously attended Houghton College?

Yes

No

Please list the start date you attended Houghton College

Please list the end date you attended Houghton College

Homeschool and/or High School Student Policies and Approval

Policy for high school and/or homeschooled students taking college courses:

Enrollment is limited to two classes (six to seven credit hours total) at the 100- or 200-level per semester
Students must be juniors or seniors in high school (or the equivalent for homeschooled students)
Homeschooled students must receive parental permission to enroll in courses
High school students must be approved by their guidance counselor in order to enroll

Course registration for high school and homeschooled students occurs AFTER the following dates:

Fall: August 1
Spring: December 15
Mayterm or Summer: January 15

Course registration deadline for online courses occurs after the following dates:

Fall: August 22
Spring: December 21
Mayterm or Summer: April 26

Parent/Guidance Counselor Name

Parent/Guidance Counselor Phone or Email

I have been approved by my parent(s) or Guidance Counselor to enroll in courses at Houghton College

Yes

No

Please note: You must receive parental approval or approval from your Guidance Counselor in order to enroll in courses at Houghton College. Please contact the appropriate party before submitting this form.

Course Information

I intend to enroll in a(n) __________ class (Select all formats through which you would like to take courses):

Dual Enrollment (courses taken AT your high school)

On Campus (courses taken at Houghton College in Houghton, NY)

On Campus (courses taken at Utica campus in Utica, NY)

Online

Online Graduate Courses

Please indicate which course(s) you intend to enroll in. You must include the following information in your request:

Term (e.g. Spring 2020)
Course name/number/section/credit hours (e.g. PSY 101: Introduction to Psychology A (3))

View course offerings
View college catalog and course descriptions

Please indicate which course(s) you intend to enroll in. You must include the following information in your request:

Term (e.g. Spring 2020)
Course name/number/section/credit hours (e.g. PSY 101: Introduction to Psychology A (3))

View Fall and Spring course offerings
View Summer course offerings

Please indicate which course(s) you intend to enroll in. You must include the following information in your request:

Term (e.g. Spring 2020)
Course name/number/section/credit hours (e.g. PSY 101: Introduction to Psychology A (3))

View Fall and Spring course offerings
View Summer course offerings

Please list the semester in which you would like to take the course(s) (Note: if you would like to take courses in multiple different semesters, you will need to fill out this form once for each semester):

Fall 2020

Through which graduate program would you like to take courses?

Business Administration, MBA

Literacy Education, M.S.Ed.

Do you intend to take these courses for credit or audit only?

For Credit

Audit Only

Will course(s) apply toward a second undergraduate degree?

Yes

No

Dual Enrollment Courses

How many classes would you like to take for this semester?

1

2

Course 1

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Course 2

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

On Campus (courses taken at Houghton College in Houghton, NY)

How many classes would you like to take for this semester?

1

2

Course 1

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Course 2

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

On Campus (courses taken at Utica Campus in Utica, NY)

How many classes would you like to take for this semester?

1

2

Once accepted, Jane Willis, Dean of Houghton College Utica, will consult with you in regards to which course(s) you are approved to take.

Course 1

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Course 2

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Online Courses

In which module(s) would you like to take courses? (select all that apply)

Module 1

Module 2

How many classes would you like to take for module 1?

1

2

Course 1

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Course 2

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

How many classes would you like to take for module 2?

1

2

Course 1

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Course 2

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Online Graduate Courses

In which module(s) would you like to take courses? (select all that apply)

Module 1

Module 2

How many classes would you like to take for module 1?

1

2

Course 1

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Course 2

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

How many classes would you like to take for module 2?

1

2

Course 1

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Course 2

Course Prefix (e.g. PSY):

Course Number (e.g. 101):

Course Title (e.g. Introduction to Psychology):

Course Section (e.g. A. If no course section is listed on the website, use "A".):

Character Reference

Please provide the name of an individual whom we may contact for reference. This person cannot be a relative (e.g. parent, sibling, etc.).

Reference Name

Reference Phone or Email

Reference Relationship to You

Final Questions

Please list the school that you received your undergraduate degree from:

Please list your undergraduate degree (example: bachelor's of science in business administration):

Please explain why you are taking graduate courses at this time?

Confirmation

After you hit "Submit" below, check your primary email address listed above for confirmation that your application has been successfully submitted. Please call the Office of Admission at 800.777.2556 if you have any questions.