MCAD Online PSEO Application Form - Minneapolis College of Art ...

MCAD ONLINE - PSEO APPLICATION FORM
Name
Last
Permanent mailing address
City
Phone ( )
First
Date of Birth
Email address you check frequently and will use
for your online course (PRINT CAREFULLY)
Name of parent or legal guardian
State
County
Middle
Social Security Number
I am applying for (check one) Fall of Year
Spring of Year
Name of High School
City
Year of high school graduation
Name of high school art teacher
Name of high school guidance counselor
List any colleges or universities you have previously attended through the PSEO (or other) pre-college program.
Name of Institution
College presently attending (if applicable)
Have you ever attended MCAD?
Have you attended an MCAD Summer program?
RETURN APPLICATION TO:
Minneapolis College of Art and Design
Admissions Office
2501 Stevens Avenue South
Minneapolis MN 55404
QUESTIONS:
Contact MCAD Admissions
admissions@mcad.edu
612-874-3760 or 1-800-874-6223
612-874-3701 (fax)
Contact MCAD Distance Learning
online@mcad.edu
612-874-3618 or 1-800-874-6223
http://online.mcad.edu
State
City/State
Yes No If yes, date:
Yes No If yes, date:
Zip
Dates
Which MCAD Online courses are you interested in taking?
Review MCAD Online course descriptions (http://online.mcad.edu) before listing your selections below:
First Choice
Second Choice
Third Choice
Personal Information (optional) Male
Sex:
Female
Predominant ethnic background (optional)
Black (Non-Hispanic)
American Indian/ Alaskan Native
Asian/ Pacific Islander
Hispanic/ Chicano/ Latino
White (Non-Hispanic)
Multi-Cultural
Do you have any access needs the college should be aware of?
(If yes, please explain on a separate sheet of paper.)
The Minneapolis College of Art and Design is an equal opportunity educator and employer.