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First Name *

Middle Name

Last Name *

Name Candidate Prefers

Gender

Male     Female

Street Address *

Apartment Number

Home E-mail *

City *

State/Province/Country *

Zip Code *

Home Phone Area Code *

Home Phone Number *

Home Phone Country Code (if foreign)

Cell Phone Area Code

Cell Phone Number

Cell Phone Country Code (if foreign)

Citizenship

U.S.      Other (be specific):   

Social Security # *

Age *

Date of Birth ( mm/dd/yyyy ) *

Country of Birth *

If Resident Alien - Original Country

Alien Registration Number

Is the Candidate fluent in English?

Yes      No

Is English the Candidate's native/main language?

Yes      No

If "no", what is the Candidate's native language?

If the Candidate is not proficient in English, has he taken the Test of English as a Foreign Language (TOEFL)?

Yes      No

If "yes", indicate score awarded for TOEFL

Enroll as a:

College Freshman      College Softmore

Receive information on the Army ROTC Two-Year Early Commissioning Program

Yes      No

Become a member of the Regimental Band

Yes      No

Has the candidate attended Valley Forge Military College previously?

Yes      No

Has the candidate attended Valley Forge Military Academy previously?

Yes      No

Will the Candidate be sponsored by one of the US Service Academies/Foundations?

Yes      No

Is the Candidate a veteran of the U.S. Armed Forces?

Yes      No

Has the Candidate attended college anywhere else prior to applying to Valley Forge?

Yes      No

Probable area of study:

Does the Candidate have a relative who is a current or former cadet?

Yes      No

Does the Candidate have a relative who is an alumnus?

Yes      No

What specific person, publication or advertisement prompted this application to Valley Forge Military College? *

(Name of cadet/alumnus/other person; name of newspaper or magazine; call letters of radio station; name of television program or cable station, etc.)

Has the Candidate received any academic awards?

Yes      No

If "yes," please list:

What activities has the Candidate participated in? (Check all that apply.)

List Details (instrument, number of years played, rank achieved, etc.)
If other organizations/activities, list below and please be specific:

What sports has the Candidate participated in? (Check all that apply.)

Has the Candidate held any positions of leadership pertaining to the three questions above?

Yes      No

If "yes," please list:

Has the Candidate been suspended or expelled from school?

Yes      No

If "yes," please explain. (Include school year and grade, as well as name of school if not the current school.)

Has the Candidate been adjudicated for any offense other than a traffic violation?

Yes      No

If "yes," please explain and be specific:

Candidate lives with:

First Name

Middle Name

Last Name

Street Address

City

State

Zip Code

Telephone (Include area code)

Employer/Business Name

Position Held

Business Address

City

State

Zip

Business Phone (Include area code)

Fax

Email

First Name

Middle Name

Last Name

Street Address

City

State

Zip Code

Telephone (Include area code)

Employer/Business Name

Position Held

Business Address

City

State

Zip

Business Phone (Include area code)

Fax

Email

Person responsible for payment of tuition and expenses: (Full Name)

If different than parent above, include complete mailing address and day time phone number

Are you interested in receiving financial aid?

Yes      No

Pennsylvania Law requires that: "Prior to admission to any school entity, the parent, guardian or other person having control or charge of a student shall, upon registration, provide a sworn statement or affirmation stating whether the pupil was previously suspended or expelled from any public or private school of this Commonwealth or any other state for an act of offense involving weapons, alcohol or drugs, or the willful infliction of injury to another person of for any act of violence committed on school property".

Please complete the following:

I (We) have read the "Fee Statement", "Refund Policy", "Statement of Understanding" and the School Code excerpt above and agree that we desire to enroll (Student's Full Name)    for classes to begin in  - Select One - January 2010August 2010 January 2011August 2011 January 2012August 2012   subject to the terms of payment and the prevailing rules and regulations as stated in the school publications "The Guidon" and "The Honor System."

I (We) hereby swear or affirm that   (Student's Full Name)  was was not    previously suspended or expelled from any public or private school of this Commonwealth or any other state for an act or offense involving weapons, alcohol or drugs, or the willful infliction of injury to another person or for any act of violence committed on school property. I (We) make this statement subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unsworn falsification to authorities, and that the facts contained on this application are true and correct to the best of my(our) knowledge, information and belief.

I (We) understand in case of dismissal for violation of school regulations or withdrawal for any other reason whatsoever, a credit to the account will be applied as provided in the Refund Policy and any unpaid balance shall become immediately due and payable.

Applications for admission to Valley Forge Military Academy & College are considered with the expectation and assumption that all questions and information requested by the application materials are answered truthfully and completely. I understand that any misstatement or omission of information made on this application or during the admission process may result in revocation of an offer of admission and/or enrollment too, or in dismissal from, the Valley Forge Military Academy & College of my son/daughter/ward.

The Valley Forge Military Academy & College Admissions Board in its sole discretion shall determine admissions to Valley Forge Military Academy & College. It is Valley Forge Military Academy and College's policy not to share reasons for an applicant being denied admission.

I (We) understand that transcripts, credits and diplomas will be withheld until all financial obligations are paid.

I Agree         I Disagree

The Family Educational Rights and Privacy Act of 1974, effective November 11, 1974, prohibits the release of any personally-identifiable information contained in a student's record, except where specified by law, without written request of the individual legally responsible who shall specify what records are to be released, the reason(s) for the release, and to whom the information is to be sent.

I (We) request that :

  (Name of School)  
  (Street Address)  
  (City)  
  (State)  
  (Zip)  
  (Phone)  
  (Country Code)  
  (City Code)  
US residents enter '000' for Country and City codes

to release the complete school record of:   (Candidate's Full Name)   to include, where applicable, secondary standardized test results; the secondary school activity record; any special record to include special education (A. learning disabled, B. emotionally disturbed) classification, if any, and reasons; testing or psycho-educational evaluations; resource room, IEP or learning support programs; and a transcript of courses, grades, and credits.

These records should be sent to:

Dean of Admissions
Valley Forge Military Academy & College
1001 Eagle Road, Medenbach Hall
Wayne, PA 19087-3695

I (We) hereby authorize and consent to the release of information and records bearing on my personal history, academic record to any authorized representative of Valley Forge Military Academy & College.

This authorization includes permission to obtain copies and abstracts of records and information regarding my background.

The information will be used to assist the Admissions committee relative to my application for enrollment at Valley Forge Military Academy & College.

This authorization is valid for a period of one year commencing on the date signed below. Upon request, a copy of this signed statement may be furnished to the school, doctor, reference or other person furnishing such information or record. Copies of this release may be substituted for the original.

I Agree         I Disagree

To process your application you must remit payment of the non-refundable $25 application fee. Applications will not be processed without the required fee.

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