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3 - SNHU Academic Archive

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8 FAMILY<br />

Father's Full Name<br />

Father's Occupation<br />

First Middle Last<br />

Title<br />

Father's Employer<br />

Mother's Full Name :<br />

First Maiden Last<br />

Mother's Occupation<br />

Title<br />

Mother's Employer<br />

If either or both parents are deceased, please indicate which<br />

_<br />

Are your parents divorced or separated • Yes<br />

Brothers ;<br />

List names and ages<br />

D<br />

No<br />

With which do you live<br />

• Mother<br />

• Father<br />

9<br />

Do<br />

Sisters<br />

List names and ages<br />

you have any relatives or friends attending or who have attended New Hampshire<br />

College Give names, relationships and dates of graduation or attendance, if possible.<br />

10 Is there any information about yourself which you think might be helpful an<br />

wish us to have in evaluating your qualifications for admission (honors, clubs, sports,<br />

employment or other activities)<br />

11 DEPOSITS/WITHDRAWALS:<br />

Sometime following acceptance, you will be billed for required deposits. Space in the<br />

entering class AND on-campus housing is reserved only upon receipt of such deposits.<br />

Our liberal refund policy is detailed in our current catalogue and on our deposit bills.<br />

12 CERTIFICATION:<br />

By my signature below, I certify that the information contained in this application is true<br />

and complete, to the best of my knowledge, and I ask the Director of Admissions to process<br />

my application for admission to New Hampshire College.<br />

Applicant's Signature<br />

Date

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