Howard Payne Univeristy

 

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Application for Admission

Non-Degree / Audit Student


STUDENTS ADMITTED AS A NON-DEGREE-SEEKING STUDENT WILL BE ALLOWED TO ENROLL FOR CREDIT ONE SEMESTER ONLY WITHOUT SUBMITTING ACADEMIC DOCUMENTATION.
Call 325-649-8020 or 800-880-4478 with any questions.

Please complete all blanks. Failure to do so may result in an incomplete admission.
PERSONAL INFORMATION
First Name
Middle Name
Last Name
Other name that may appear on records
Email
Home Phone
Cell Phone
Mailing address
City
State
ZIP Code:
Gender:

Ethnicity
Date of Birth 
Social Security Number: - -
Citizenship
Marital Status

ENROLLMENT INFORMATION
Type of student

Academic year for which you are applying:
Indicate semester you plan to enter:





PARENT /GUARDIAN INFORMATION
**This section is applicable only to unmarried students under the age of 24**

Parental addresses requested below may be left blank if BOTH are the same as the permanent address reported above.  Please complete all other parent / guardian information if you are less than 24 years old and unmarried.
Parent / Guardian Relationship:
Name:
Address:
City:
State:
Zip Code
Home Phone Number:
Other Phone:
Parent / Guardian Relationship
Name:
Address:
City:
State:
Zip Code:
Home Phone Number:
Other Phone:

EMERGENCY INFORMATION
Person to contact in case of emergency:

Name:
Address:
Relationship:
Home phone:
Work number:
Alternate phone number:

GENERAL INFORMATION
Religious preference:
Church name:
Church address:
Pastor's name:

CERTIFICATION STATEMENTS (REQUIRED OF ALL APPLICANTS)
I hereby affirm that the information given is correct to the best of my knowledge. I understand that if admission is granted, I will accept the responsibility for knowing and abiding by all rules and regulations of the university as published in the university catalog and the student handbook. I also understand that if I am found to be ineligible for admission after being permitted to register tentatively, I will be withdrawn from the university. I understand that Howard Payne University is a Christian university and, as such, has lifestyle and behavior standards I am expected to abide by.

Howard Payne University · 1000 Fisk Street · Brownwood, TX 76801 · 800-880-4HPU · 325-649-8020 · enroll@hputx.edu