What is your first name? *

What is your middle name? *

What is your last name? *

Any other names which documents can be found?

What is your permanent mailing address? *

Important: address changes prior to enrollment should be reported immediately to our Enrollment Services Office.
City? *

Zip code? *

What are the best phone numbers to reach you? *

Include area code
What is your social security number? *

What is your date of birth? *

What is your place of birth? *

City and State. Add Country if outside of the US.
Are you male or female? *

Are you a U.S. Citizen? *

If not, what is your country of citizenship?

Are you Hispanic or Latino? This information will be used in a non-discriminatory manner, consistent with applicable civil rights laws.

How do you describe yourself? This information will be used in a non-discriminatory manner, consistent with applicable civil rights laws.

What high school did you attend? *

Name and location
What year did you graduate? *

If currently enrolled, enter expected graduation year
What is your High School Cumulative Grade Point Average (CGPA)?

What is your ACT/SAT Composite score?

List all colleges attended:

Name of the Institution, city and state, dates of attendance and degree.
What is your College Cumulative Grade Point Average?

I plan to enroll at: *

I plan to attend: *

What is your Residential Status? *

Do you have a religion or church affiliation?

Religion/Church name
Are you a member of The United Methodist Church? *

Are you a Clergy member?

I expect to be a: *

I am: *

I am an evening student with:

Certification *

I certify that none of the information requested on this form is false or has been withheld. I understand that giving false information may make me ineligible for admission or to continue at Rust College.
Thank you for your application!


New Freshmen
: The official high-school transcripts should be sent from your high school to the Admissions Office. We also need a copy of your ACT/SAT score.

Transfer Applicants: Please request each college you have previously attended to send an official transcript of your academic record to our Enrollment Services' Office.

Fee: There is a non-refundable application fee of $10.00. If you plan to resides on campus, there is a Room reservation of $50.00. Fees may be submitted electronically at www.rustcollege.edu or via US Mail to:
Office of Enrollment
150 Rust Avenue
Holly Springs, MS 38635

Deadlines: We have a rolling admission, so accept application all year long. However, our Priority Deadline for the Spring is December 1st. All others will be evaluated on a competitive and space-available basis.
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