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ADMISSIONS FORM

Step 1 of 13 - Admission Packet

ADMISSION PACKET
1. APPLICATION
Simmons College of Kentucky (SCKY) requires that the application is filled out in its entirety. Please do not leave any answers blank. Submission of the signed application to SCKY, affirms that all information in the application, to the best of your knowledge, is correct.
2. REFERENCE FORM
One reference form should be completed by someone who is able to attest to your character, academic maturity, and preparation for the Simmons College of Kentucky experience. Please choose someone who can give an honest assessment as to where you are in your overall life journey. This form may not be completed by a friend or family member.
3. AUTOBIOGRAPHICAL ESSAY
Write a short essay (approximately 200-300 words) in the space provided that tells us something about your unique qualities and how they will help you or others pursue an education at Simmons College of Kentucky.
4. TRANSCRIPTS
Simmons College of Kentucky requests an official high school transcript, high school diploma, and/or GED scores that qualify for a high school equivalency diploma. If you have attended college, we request official transcripts from all the post-secondary educational institutions you have attended.
5. TEST SCORES FROM THE ACT OR SAT
If you have not yet taken the ACT or SAT, you will need to register to do so. Click on the links below for further information.
[link to ACT: https://www.act.org]
[link to SAT: https://collegereadiness.collegeboard.org/sat]
Further consideration:
ACADEMIC ASSESSMENT
Upon enrollment, Simmons College of Kentucky (SCKY) will require an internal, institutional assessment in order to measure your personal benchmarks for mathematics, reading, and writing.
Simmons College of Kentucky is an institution dedicated to educating people in the urban context through strong academic and professional programs in order that they might become productive citizens and agents of change in society.
You can download the application form from HERE and mail it in to the address below with the required fee or complete your application online by pressing NEXT.
Mail Paper Admissions Forms to:

Office of Admissions
Simmons College of Kentucky
1018 South 7th Street
Louisville, Kentucky 40203-3320
T 502-776-1443 | F 502-614-1905
www.simmonscollegeky.edu

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General Information
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Mobile Phone
May we text you for official alerts and notices?*
Yes
No
Preferred Email Address*
Enter Email Confirm Email
Are you a U.S. Citizen?*
Yes
No
Are you a legal permanent resident (someone with a “green card”)?*
Yes
No
Please contact the Admissions Office to see what enrollment options are available. Simmons College of Kentucky cannot process student visas for International students at this time.

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Personal Information
Birth Date*
MM slash DD slash YYYY
City of Birth*
State of Birth*
Gender*
Do you plan to apply for Financial Aid or want to receive form 1098T to get a tax credit for your tuition and fees not covered by grants or scholarships?*
Yes
No
Social Security*
Ethnic Origin*
Marital Status*
Religious Affiliation
Home Church Name
Home Church Address
Street Address Address Line 2 City State ZIP Code
What is your Veteran status?*
Social Security*
Branch of military service*

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Family History
Mother's Education Level*
Father's Education Level*

Names of relatives who have graduated from Simmons College of Kentucky or Simmons Bible College and year of graduation (if you know)
Name Years

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Conduct
Have you ever been expelled or suspended from any school or college for disciplinary reasons?*
Yes
No
Have you ever been suspended because of academic deficiencies from an educational institution or from a particular program of study?*
Yes
No
Have you been convicted of any criminal offense other than a traffic violation?*
Yes
No
Please explain the circumstances, the dates, the city and state where the incidents occurred and the resolution:

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Enrollment
What is your planned enrollment?*
What is your expected classification?*
Note: If you are a transfer student, you must identify the other colleges attended and have your transcripts sent to Simmons College of Kentucky.
Intended Major*
Current Attendance Plans (you may change your plans later):*
On Campus/Online*
On Campus
Online
Full/Part-time*
Full-time
Part-time
Day/Evening*
Day
Evening
Both

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High School

List All High Schools Attended*
High School Name High School City State/Province

Are you the recipient of a GED?
Yes
No
GED City
GED State
Date of High School Graduation or GED*
MM slash DD slash YYYY
Do you have any previous college experiences?*
Yes
No

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Previous College Experiences
Last attended college/university
City:
State:
Dates of Enrollment from
MM slash DD slash YYYY
Dates of Enrollment to
MM slash DD slash YYYY
College/Univ. Graduation Date:
MM slash DD slash YYYY
What type of degree did you earn?
College/Univ. Name:
Second most recently attended college/university
City:
State:
Dates of Enrollment from
MM slash DD slash YYYY
Dates of Enrollment to
MM slash DD slash YYYY
College/Univ. Graduation Date:
MM slash DD slash YYYY
What type of degree did you earn?
College/Univ. Name:

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Test Information
Have you taken the ACT or SAT?*
Yes
No
Which test?*
ACT
SAT
SIMMONS COLLEGE OF KENTUCKY HAS WAIVED THE ACT/SAT TEST REQUIREMENT FOR THE FALL 2020 AND SPRING 2021 ACADEMIC YEAR.
Test score?
Date test taken:
MM slash DD slash YYYY
An official copy of your test results is required.
Do you have a diagnosed learning disability?*
Yes
No
In order to receive testing and other accommodation for a learning disability, you must submit documentation from a licensed psychiatrist, psychologist, or equivalent that is current within the last five years. Please refer to the Student Handbook for more details.
Please note that Simmons offers limited accommodations to students with a diagnosed learning disability. Upon acceptance to and enrollment in SCKY, a representative will contact you to discuss your needs and let you know what we have to offer.
What is the learning disability?*
Date of diagnosis*
MM slash DD slash YYYY
How did you first hear about Simmons College of Kentucky?*

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Personal Statements
Academic Honors Earned. Please briefly describe any scholastic honors, achievements, or distinctions you have received. Please list experiences from the ninth grade forward:
List your extracurricular activities and positions you’ve held that have contributed to your personal, moral, intellectual, or spiritual development:
Work Experience (list most recent jobs you have held and the dates):

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Autobiographical Essay
Describe your unique qualities or characteristics and how you believe those qualities will contribute to Simmons College of Kentucky, as a Christian HBCU. (approximately 300 words).*
Additional Information or Explanation. Use this space to explain prior answers or anything you would like us to know about you.

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Certification of Information
Please complete the appropriate certification of your information:
How old are you?*
18+
Under 18
By clicking the submit button below, I hereby certify that
- I am a citizen of the United States or am a legal permanent resident.
- The information on this application is complete and correct, and I understand that the submission of false information is grounds for rejection of my application, withdrawal of any offer of acceptance, cancellation of enrollment, or appropriate disciplinary action.
- My application is not complete until my transcripts, test scores, and recommendation are received by Simmons College of Kentucky.
- By typing my name herein, I am making a valid electronic signature.
By clicking the submit button below, I hereby certify that
- The applicant is a citizen of the United States or am a legal permanent resident.
- The information on this application is complete and correct, and I and the applicant understand that the submission of false information is grounds for rejection of my application, withdrawal of any offer of acceptance, cancellation of enrollment, or appropriate disciplinary action.
- This application is not complete until the application fee is paid and my transcripts, test scores, and recommendation are received by Simmons College of Kentucky.
- I am the parent or legal guardian of the applicant.
- By typing my name herein, I am making a valid electronic signature.
Type your name here:*
Signature
Touch-screens: Use your finger or stylus. - Non-Touch screens: Use your mouse.

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To complete your admissions application, you must have one professional or business person who is familiar with your work, your character, and your potential complete a recommendation form. You may not use a friend or a neighbor. You may use an employer, a school counselor, teacher, pastor, or youth minister or counselor, or other such individual. Please ask your proposed reference for permission to provide their name before completing this form.
Information of Your Reference
Name of your Reference*
First Last
Email of Reference*
Enter Email Confirm Email
Band Information
Are you a band recruit?*
Yes
No
Please list previous Band Director/Dance Coach contact information
Submit Your Audition Video (Max file size: 8MB)
Max. file size: 8 MB.
Submit Your Reference Letter (Max file size: 8MB)
Accepted file types: pdf, doc, docxtxt, Max. file size: 8 MB.
What is your main instrument?
Please list any other instruments or musical talents
Email
This field is for validation purposes and should be left unchanged.

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Exact matches only
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Search in title
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Search in content
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Simmons College of KY has been approved to participate in the National Council for State Authorization Reciprocity Agreements.

None of the Simmons College of KY programs lead to licensure.

Step 1 of 13 - Admission Packet

ADMISSION PACKET

General Information

Please contact the Admissions Office to see what enrollment options are available. Simmons College of Kentucky cannot process student visas for International students at this time.

Personal Information

Family History

Conduct

Enrollment

High School

Previous College Experiences

Last attended college/university

Second most recently attended college/university

Test Information

SIMMONS COLLEGE OF KENTUCKY HAS WAIVED THE ACT/SAT TEST REQUIREMENT FOR THE FALL 2020 AND SPRING 2021 ACADEMIC YEAR.

Personal Statements

Autobiographical Essay

Certification of Information

Please complete the appropriate certification of your information:

Information of Your Reference

Band Information