Undergraduate Application

Office of Admissions

Other admissions applications:
Graduate
Graduate - International

International Student



First-Time College Students

  1. Complete all parts of this application. (Click here to print the form and fill it out by hand.)
  2. Request that an official copy of your  high school transcript be forwarded  to the Office of Admissions at 701 N. Clinton Street, Defiance, Ohio 43512. High School Transcript Request Form (click here) - print and give to your high school counselor
  3. Request that your ACT or SAT be forwarded to the Office of Admissions,  Defiance College.
    Codes: ACT: 3264, SAT: 1162
  4. The $25.00 application fee has been waived since you are applying for admission on-line. A campus visit with an admission counselor will also waive this fee.

Transfer Students

  1. Complete all parts of this application.  (Click here to print the form and fill it out by hand.)
  2. Request that official copies of your high school and all college and university transcripts be forwarded to the Office of Admissions, 701 N. Clinton Street, Defiance, Ohio 43512. High School Transcript Request Form (click here) and College Transcript Request Form (click here) - print and give to your high school counselor and your college official.
  3. The $25.00 application fee has been waived since you are applying for admission on-line. A campus visit with an admission counselor will also waive this fee.
  4. Be in good academic and social standing at your previous college(s).Your academic and social standing at your prior school(s) may be investigated after enrolling with Defiance College.

It is your responsibility to have official transcripts from all high schools, colleges or universities that you have attended sent to the Office of Admissions.

Transient Students or Visiting Students
If you are interested in taking summer classes at Defiance College and transferring your credits back to your home college, please contact the DC Registrar's Office at 419-783-2551 or 1-800-520-4632. They will send you the proper forms for a transient student or a visiting student or you can print the form. You do not need to fill out the application form below to be a transient student. Students who are enrolled in another recognized college and wish to take a course from Defiance College are required to submit a statement of approval from the student's home college. An additional fee of $10.00 per registration includes the cost of sending a Defiance College transcript to the student's institution.

Please note when filling out this form: Use the Tab button to switch from question to question, or use your mouse. Hitting the return key will submit the form. The information you provide is encrypted for security. Secure information means the information you provide, such as your SSN, is encrypted (secure) so it can't be read or intercepted by other people.

PERSONAL INFORMATION
Defiance College admits students regardless of race, color, religion, gender, age, national and ethnic origin, disability, or sexual orientation.
First Name   Middle Name
Last Name   Preferred Name
Maiden Name      
         
Mailing Address
City State Zip/Postal Code
County Country  
           
My Home Phone     My Email  
Alternate Phone     My Cell Phone  
Preferred Method of contact          
Would you like to be contacted via text message?   Y   N  
           
Date of Birth          
Have either of your parents attended college?   Y   N  
Are you a US citizen?   Y   N   If no, Country of Citizenship  
            If no, Are you a permanent resident?  
Y   N
Gender Female Male        
                 
Marital Status   Religious Preferences (Optional)
         
Military Service:
Are you a veteran or are you active duty military/reserve?   Y N
If yes, Branch of Service:  
     
Are you a dependent or spouse of a veteran or a dependent or spouse of an active duty military/reserve?   Y N
Veteran Type:  
                 
Ethnic Origin
Are you Hispanic/Latino?   Y N  
Are you from one or more of the following racial groups:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
 
ACADEMIC INFORMATION
Applying for the year (ex. 2012)

  Fall
Semester

  Spring
Semester

  Summer
Session

Applying as:   Freshman
(First-time college student)

  Transfer   Non-degree Seeking
Enrollment:

 

Full-Time

 
Part-Time

 
Attend classes:   Day   Evening   Weekend
                   
Have you previously attended Defiance College?   
If Yes, student ID#              
                   
Housing Preference:
 
Major Preference:
Choice #1
Choice #2
If an education major was selected above, choose a teaching field or a licensure.
 
 
ACADEMIC HISTORY
Have you taken post-secondary classes during high school?   Y   N   College Attended:  

Please list all high schools, colleges, or universities you have attended, beginning with the most recent:
Date of Graduation Name City State Dates Attended Degree
Official transcripts of all high school and college work must be submitted directly to the Office of Admissions.
Guidance Counselor Name
Guidance Counselor Phone
Guidance Counselor E-mail
Self-reported G.P.A.
Self-reported ACT composite score Essay Score
Self-reported SAT composite score
SAT critical reading math writing
Self-reported college G.P.A. (if applicable)
Are you an International Baccalaureate student?

Are you currently on academic probation or academic suspension at your previous institution?If yes, please explain. Name of school and explanation.
 
Are you in good social standing at your previous college(s)or university(ies)?
If no, please explain. Name of school and explanation.
Note: Your academic and social standing at your prior school(s) may be investigated after enrolling with Defiance College.

SCHOLARSHIP CONSIDERATION
In which competitive scholarships/awards are you interested? Carefully read the criteria for each of the following scholarships to make sure you qualify before checking the box.

Invitations for the Scholarship Day Program will be sent following your acceptance. In order to participate in the scholarship day program, students must be accepted for admission by Saturday, December 7, 2013, Saturday, February 1, 2014 or Saturday, February 15, 2014 respectively.
SCHOLARSHIP DAY PROGRAMS
Presidential Scholar Program: $12,000 - Full Tuition
Eligibility:
High school GPA of 3.50/4.0 scale and ACT composite of 27 or SAT combined* score of 1220
  • Scholarship Programs on: Saturday, December 7, 2013, Saturday, February 1, 2014 or Saturday, February 15, 2014.
Pilgrim Scholar Program: $11,000 - $16,000
Eligibility:
High school GPA of 3.20/4.0 scale and ACT composite of 24 or SAT combined* score of 1110
  • Scholarship Programs on: Saturday, December 7, 2013, Saturday, February 1, 2014 or Saturday, February 15, 2014. 
Achievement Scholar Program: $10,000 - $13,000
Eligibility:
High school GPA of 2.80/4.0 scale and ACT composite of 21 or SAT combined* score of 990
  • Scholarship Programs on: Saturday, December 7, 2013, Saturday, February 1, 2014 or Saturday, February 15, 2014.
Service Leadership Award ($2,000)
New students with a demonstrated record of service in their communities are eligible. The Service Leadership Program offers Defiance College students unique and exciting programs to develop leadership skills that will strengthen their individual career interests. For application information, go to Service Leaders page. Qualified applicants will be invited to campus for an interview on Saturday, December 7, 2013, Saturday, February 1, 2014 or Saturday, February 15, 2014.

 
ADDITIONAL SCHOLARSHIPS
Lillian Rae Dunlap Award ($1,000)
Awarded annually to students contributing to the diversity of the Defiance College campus.  Minimum 2.25 high school GPA. Deadline is March 1. More Information | Award Application
Defiance College Award ($5,000-$10,000)
Monies are awarded when accepted in good standing and are based upon review of academic performance, i.e. official high school transcripts, college transcripts, ACT/SAT scores, high school or college grade point average, and coursework.
United Church of Christ (UCC) Award (Up to $2,000)
Awarded annually to UCC member and must demonstrate financial need.
Alumni Legacy Award (Up to $4,000)
Awarded annually to a dependent of a Defiance College graduate and must demonstrate financial need.
Richard W. Stroede Scholarship ($1,000)
Awarded annually to a student interested in participating in Music Programs at Defiance College. Selection is based on on-site auditions the spring prior to the student's first fall enrollment. Richard W. Stroede Scholarship winners must enroll for a minimum of one credit hour per semester of music ensembles, and maintain a 2.0 grade point average. The Richard W. Stroede recipient must also take one credit hour of an applied lesson per semester. Awarded annually in $500/semester increments.
Music Talent Award ($500)
Awarded annually to a student interested in participating in music programs at Defiance College. Selection is based on on-site auditions the spring prior to the student's first fall enrollment. Music Talent Award winners must enroll for a minimum of one credit hour per semester of music ensembles, and maintain a 2.0 grade point average. Awarded annually in $250/semester increments.
Northwest State Community College (NSCC) Transfer Scholarship ($2,000)
Awarded annually to a student holding an associate degree from Northwest State Community College in Ohio.
Owens Community College Transfer Scholarship ($2,000)
Awarded annually to a student holding an associate degree from Owens Community College in Ohio.
Phi Theta Kappa Scholarship (Up to $10,000)
Awarded annually to a transfer student who is a member of Phi Theta Kappa.
Some awards may be combined to increase your total aid package. Contact your admissions representative for further details. For full-time undergraduate students beginning their Defiance College education in Spring 2012 or Fall 2012. Renewal based upon academic performance at Defiance College.

Need-based financial aid is separate from merit aid.

*(writing assessments are not included with the test scores)
FAMILY INFORMATION
With whom do you live?

Parents:
Married Divorced Separated
Mother deceased Father deceased  

   
Full Name:  
Street Address:  
City:  
State:  
Home Phone:  
Cell Phone:  
E-mail Address:  
Employer:  
Job Title:  
Highest level of Education  
 
   
Full Name:  
Street Address:  
City:  
State:  
Home Phone:  
Cell Phone:  
E-mail Address:  
Employer:  
Job Title:  
Highest level of Education  
Names and ages of siblings and their years of high school graduation
Names and ages of applicant's children and their years of high school graduation
Names of friends and relatives who are alumni of or are affiliated with Defiance College (specify relationship please) ie: faculty, staff, current or former student, etc.

CO-CURRICULAR ACTIVITIES
High School Activities
Please list the activities in which you participated during high school
(and in college for transfer students) 
 
Defiance College Activities
In which activities do you plan to participate in college?
Academic Associations The Defender (Newspaper) Progeny(literary magazine)  
American Marketing Assn. Ecology Club PULSE(Peers Understanding Leadership & Social Education)  
BASA(Black Action Student Association) Fraternities or Sororities Religious Activities  
CAB(Campus Activities Board) Habitat for Humanity SIFE(Students in Free Enterprise)  
Cheerleading Honors Program Social Work Assn.  
Club Wrestling Instrumental Music Student Government  
Criminal Justice Society Intramurals Theater  
Community Service/Outreach Marching Band Vocal/Choral Music  
DC Pride Oraculum (yearbook) Other  
  Pep Band
   
       
Intercollegiate Athletics
In which intercollegiate activities do you plan to participate?
Baseball Basketball Track and Field
Softball Soccer Football
Volleyball Golf Tennis
Cross-Country Lacrosse Swimming and Diving
     
GENERAL INFORMATION
Other colleges to which you are applying? (Optional)(Please include city and state)
 
What influenced you the most to apply to Defiance College?

Additional Information (Optional)
1. Describe any scholastic, volunteer/service, or athletic accomplishments earned while in high school.
 
2. Explain any important events that have affected your life, or explain any aspects of your academic record that you wish to clarify.
 
A short essay may be requested at a later date. If upon review of your application for admission, it is determined that a writing sample may further support your candidacy for admission to Defiance College, you will be notified by the Admissions Office.

3. Please provide us the name of your local newspaper so that we can provide news of you regarding scholarships, honors, extra-curricular activities, etc.
Defiance College has my permission to notify news media of my name and information related to my acceptance for admission and/or a scholarship award.   Y   N
          
4. Have you ever been convicted of, pled guilty, or no contest to a felony or misdemeanor charge (other than a minor traffic violation) or are charges pending against you?   Y   N
         
If yes, please provide an explanation:
       
APPLICANT STATEMENT
By submitting this application to Defiance College I certify that the information given on this application is complete and accurate to the best of my knowledge. I understand that any misrepresentation of information on this form could render me subject to immediate dismissal from the College. I am also aware that all transcripts and other documents submitted to Defiance College in support of my application become the property of Defiance College.
 
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