General Application Instructions
There are 3 ways to apply to Eckerd College: 1) complete this Application for Admission; 2) apply online at
www.eckerd.edu/apply; 3) complete the Common Application at www.commonapp.org.
Additional Materials for FIRST-YEAR APPLICANTS
____ 1. $35 Application Fee
____ 2. Official SAT I or ACT scores (codes: SAT, 5223/ ACT, 0731). Test scores on official high school transcripts are acceptable.
____ 3. Official High School Transcript and/or G.E.D. results
____ 4. Admission Recommendation Letter
____ 5. Personal Essay
Additional Materials for TRANSFER APPLICANTS
You should apply to Eckerd College as a transfer student if you have graduated from high school (or the equivalent) and have
completed any college credit since finishing high school.
____ 1. $35 Application Fee
____ 2. OFFICIAL TRANSCRIPTS OF ALL COLLEGE WORK attempted or completed
____ 3. Letter of recommendation from a college professor or teaching assistant (you may use the enclosed form)
____ 4. Proof of High School graduation or equivalent. Students who have completed fewer than two full-time terms at
a college or university must submit a final high school transcript.
____ 5. Students who have completed fewer than two full-time terms at a college or university must submit SAT I
or ACT scores (codes: SAT, 5223/ ACT, 0731).
____ 6. Personal Essay (must address “transfer student” topic, see page 5)
____ 7. A letter from your current/previous institution’s Dean of Students (or other official school representative)
reflecting good academic and social standing. A form is available upon request, or can be downloaded from the
admission website.
Additional Materials for INTERNATIONAL APPLICANTS
____ 1. $35 Application Fee
____ 2. English Proficiency Requirement (required of all applicants whose first language is not English):
a. TOEFL or IELTS score (Official results must be sent directly from testing agency.)
b. Official documentation of successful completion of ELS Level 112 at an ELS Language Center.
____ 3. SAT or ACT examination results are required of all students for whom English is the first language. (Official results must
be sent to our office directly from the testing agency, unless included on an official sealed copy of secondary
school records.)
____ 4. Certified true copies of your secondary school records and corresponding national or provincial examination certificate(s)
(such as GCE, WAEC, CXC, Abitur, SSC and HSC, Baccalaureat). If not in English, a certified, English transalation must
be submitted in addition to original record.
____ 5. Admission Recommendation Letter
____ 6. Personal Essay
____ 7. International Student Visa Applicants:
a. Statement of Financial Responsibility & I-20 Verification Form AND
b. Original bank statement or letter certifying amount available to pay for your education.
If you are an International Transfer Student from another college or university you must also submit the following:
____ 8. OFFICIAL TRANSCRIPTS OF ALL COLLEGE WORK attempted or completed
____ 9. A letter from your current/previous institution’s Dean of Students (or other official school representative)
reflecting good academic and social standing. A form is available upon request, or can be downloaded from the
admission website.
Eckerd College Admission
4200 54th Avenue South • St. Petersburg, Florida 33711 • 800.456.9009 ext. 8331 • 727.864.8331 • 727.866.2304 fax
admissions@eckerd.edu
October 15 Begin reviewing applications (rolling admission)
January 1 Free Application for Federal Student Aid (FAFSA) available (code: 001487)
February 15 Deadline for Artistic Achievement, Church and Campus, and First-Year Research scholarship applications
March 1 Priority date to file FAFSA
Mid-March Financial Aid Awards sent
May 1 Tuition deposit deadline (first-year students)
Important
Dates
Biographical Information
Legal name: Female Male
Permanent home address: Telephone:( )
Email:
AOL Instant Messenger Name (if applicable):
If different from above, please give your present mailing address for all admission correspondence until date:
Mailing address: Telephone:( )
If Florida resident, when did you begin living in Florida? Month Year
❑ I am applying as a first-year student for term beginning: ❑ August 20 ❑ January 20
❑ I am applying as a transfer for term beginning: ❑ September 20 ❑ January 20
Are you applying as a: ❑ on-campus student? ❑ commuting student?
Have you ever made prior application to Eckerd College? ❑ Yes/year ❑ No
Possible areas of academic concentration/major: or ❑ undecided
To what other colleges have you applied for admission?
Will you be applying for financial aid based on your demonstrated need? ❑ Ye s ❑ No
Have you talked to a representative of our Admission Office? ❑ No ❑ Yes if yes, Name:
Last First Middle
Number and Street
City County
Number and Street
City County State Zip
Have you visited the Eckerd campus? ❑ No ❑ Yes if yes, Date:
The following information is necessary for our records; however, it will not be used for the purpose of evaluating your application for admission.
Birthdate _________/_________/_________ Social Security Number _________-_________-_________
Place of Birth: Country of citizenship: Type of visa:
City, State or Country
Marital Status: ❑ Single ❑ Married (Spouse’s name: )
Religious Preference: What is your first language, if other than English?
Ethnic Origin: Are you Hispanic/Latino? ❑ Yes ❑ No
Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describe you:
❑
❑
Zip
State
❑ American Indian or Alaska Native
❑ Asian (including Indian subcontinent and Philippines)
❑ Black or African American (including Africa and Caribbean)
❑ Native Hawaiian or Other Pacific Islander
❑ White (including Middle Eastern)
c/o IEC Online, Marienstrasse 19-20
+49
30-20458687
Germany
10117
Berlin
Will you have received an AA degree by the time you would enroll at Eckerd? ! Yes!!! No
Are you currently attending school? ! Yes!!! No - Describe in detail, on a separate sheet, your activities since last enrolled.
If you received a GED, list date: (Official scores must be sent to Office of Admission from testing agency.)
Family Information
Parent/Guardian’s full name: Is he/she living?
Home address if different from yours:
Occupation:
Name of college (if any): Degree: Year:
Name of professional or graduate school (if any): Degree: Year:
Parent/Guardian’s full name: Is he/she living?
Home address if different from yours:
Occupation:
Name of college (if any): Degree: Year:
Name of professional or graduate school (if any): Degree: Year:
Please check if parents are: ! never married ! married!!!!!!! separated!!!!!! divorced!!!!!Date:
With whom do you make your permanent home?
Please give names and ages of your brothers or sisters. If they have attended college, give the names of the institutions
attended, degrees, and approximate dates:
Names of relatives who have attended or are presently attending Eckerd College (indicate relationship and dates of
attendance):
Name of College Location (City, State, Zip) Degree Candidate? Dates Attended
(Describe briefly)
Dr./Mr./Mrs./Ms./Miss First Last
Dr./Mr./Mrs./Ms./Miss First Last
(Name of business or organization)
(Describe briefly)
(Name of business or organization)
School you attend now: ACT/CEEB code number:
Address: Date of graduation:
Dates of attendance: to homeschool?
!!!!!!! public? !! private?
Counselor’s Name: Counselor’s phone:( )
Counselor’s email:
City State Zip
Month and Year
Name of School City, State, Zip Dates Attended
Educational Data
List all colleges at which you have taken courses for credit. Please have an official transcript sent from each institution.
List all secondary schools, including summer schools and programs you have attended beginning with ninth grade.
American College Test (ACT)
Test Information
We require an official copy of either SAT or ACT scores. Please list your scores or test plans.
Test date: Critical reading: Math: Test date: Composite:
Date to be taken: Date to be taken:
Scholastic Aptitude Test (SAT)
Work Experience
Please list any jobs (including summer employment) you have held during the past three years.
Job Title/
Employer
Responsibilities/
Nature of Work
Approximate Dates
of Employment
Approximate No.
of Hours Spent
Per Week
Extracurricular and Personal Activities
Please list your extracurricular, community, and family activities and hobbies in order of their importance to you. Feel
free to attach additional pages or submit an activities resume.
Academic Honors
Briefly describe any scholastic distinctions or honors you have won in grades 9-12 or college.
Activity
Grade levels or
Post-Secondary
(PS)
No.
Hours/
Week
Positions Held/
Honors or Letters
Earned
Plan to Participate
in College?
Writing:
I understand that once I sign and submit my application and supporting materials they become property of Eckerd
College and I agree to relinquish ownership and waive my right to view them.
Signature: Date:
Parent/Guardian Signature (if under 18 years of age): Date:
Legal Questions, Authorizations, and Signature
At Eckerd College we value our students’ character and work to build a community founded on respect and honor;
please answer the following questions fully and honestly.
Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from
the 9th grade forward (or the international equivalent), whether related to academic misconduct or behavioral
misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?
Have you ever been convicted of a misdemeanor, felony, or other crime? ! Yes ! No
If you answered yes to either or both of these questions, please provide a detailed explanation giving the
date of violation, specifics of the situation, what consequences were given and what lessons have been
learned.
Your signature on this application authorizes Eckerd College to inquire about any matters referenced above, and
authorizes those contacted to release information. If your answer to either question changes to ‘yes’ following
submission of the application you must notify Eckerd College immediately.
Eckerd College Equal Opportunity Policy prohibits acts of discrimination and harassment against any member of the Eckerd College community which inappropriately limit employment
opportunities, access to residential facilities of the College, or participation in educational, athletic, social, cultural, or other College activities on the basis of race, color national origin, religion,
gender, disability, age, marital status, sexual orientation, or based upon any other characteristic protected by law. Complaints under this policy should be submitted to the Eckerd College
Title IX Coordinator, Dr. James Annarelli, Dean of Students, Eckerd College, 4200 54th Avenue South, St. Petersburg, Florida 33711, or by telephone at 727.864.8421.
Personal Statement - First-Year Student (Required)
Please prepare an essay on ONE of the following topics. Please type this essay (approximately 250-500 words) and
submit it with your application.
• Describe in some detail an experience of great significance to you and its impact on you.
• What book or author has made an important impact on you, and how? (You can also address a film, play, or piece of art or music).
• Discuss an issue of personal, local, national or international concern and its importance to you.
4200 54th Avenue South
St. Petersburg, Florida 33711
800.456.9009 x 8331 727.864.8331 727.866.2304 fax
admissions@eckerd.edu
Personal Statement – Transfers (Required)
Please prepare an essay on the following topic. Please type this essay (approximately 250-500 words) and submit it
with your application.
• Describe your important college experiences to date and your reasons for seeking to transfer to Eckerd College. You may also include any other
information that you would like our Admission Staff to know about yourself.
! Yes ! No
1. Please forward a copy of the student’s transcript and academic work in progress. If high school grades are
in numbers and you have a letter scale, please indicate as follows: For example (94-100) = A.
=A =B =C =D =E/F
2. Please provide us with the following information about your school:
Type: ! Homeschool ! Public ! Private !!!! Location: ! Urban !! Suburban ! Rural
3. Percentage seeking 4-year college: Total enrollment:
FIRST-YEAR STUDENTS AND TRANSFERS
To The Recommender:
4. As part of the admissions procedure of Eckerd College, students are asked to obtain the recommendation of a
guidance counselor, high school teacher from a core academic class, or faculty member. Please attach a letter of
recommendation about the applicant’s character, motivation, maturity, conduct record, academic performance, and
potential for growth. Feel free to include any other information that will help the admission staff evaluate this applicant.
Your honest appraisal is greatly appreciated.
5. Do you have a specific recommendation?
! Recommended highly ! Not recommended
! Recommended ! No basis for judgement
! Recommended, but with reservation ! Please call me for my summary recommendation
Admission Recommendation
Please detach and give to your recommender and have it forwarded to our address below:
Applicant’s name:
Social Security Number:
School currently attending:
4200 54th Avenue South
St. Petersburg, Florida 33711
800.456.9009 x8331 727.864.8331 727.866.2304 fax
admissions@eckerd.edu
Signature: Date:
Name: Position:
School: Phone Number:
Address:
Email Address:
Street Address City State Zip
First Middle Last
Please include this form with your letter of recommendation and a copy of the high school record and return to:
FIRST-YEAR STUDENTS ONLY
To School Official:
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Financial Information and I-20 Verification for International Students 2009–2010
If you will need a student visa to attend Eckerd College, you must meet Eckerd’s financial documentation requirements to receive a
Certificate of Eligibility (I-20 for the F-1 ) and apply for your visa.
U.S. immigration regulations require that you demonstrate that you have sufficient funds to cover your living and educational expenses for study
on a full-time basis. The estimated amounts below include funding needed to cover your living expenses and mandatory health insurance for 9
months, but not the cost of travel to Saint Petersburg or optional study period tuition. These amounts are reviewed annually and are subject to
change. For up-to-date estimated expenses, visit our web site at http://www.eckerd.edu/admissions/finaid/cost.php.
To receive an I-20, you must document sufficient funds are available to cover all estimated expenses for one academic year (9 months), along
with a funding plan for the remainder of your intended study. This is the same standard that U.S. visa officers will use to determine your financial
ability during your visa interview.
How to Document Your Funding
Please read both sides of this form. Complete the Statement of Financial Responsibility & I-20 Verification, and attach documentation
of funds, as follows:
1. Bank statements or letters (from financial institutions where the sponsor holds an account) must show the actual amount of currency
available. To qualify for I-20 issuance, this amount must be equal to or greater than the total cost based on 9 months listed below. If you
qualify for scholarship, we will consider this in determining your eligibility. Please keep in mind the maximum scholarship and aid award is set
at $13,000 per year for 2009-2010.
2. Your sponsor(s) must complete the “Statement of Financial Responsibility & I-20 Verification Form”.
3. Documents must be dated within three months of the start of your first term at Eckerd College.
4. Documents must be in English; translations must be verified by an appropriate bank or government official.
The Office of Admission reserves the right to request additional documentation of funding.
Estimated Annual Expenses for Undergraduates
Undergraduate tuition and fees for 2 semesters…………………………….. $32,104
Books and supplies for 2 semesters………………………………………….. $1000
Health insurance ………………………………………………………………... $575
Living expenses for 9 months*………………………………………………… $11,658
Total Cost per Calendar Year………………………………………………... $45,337
*If you will not travel home for the summer, be sure to plan accordingly.
Explanation of living expenses
The estimate for living expenses for 9 months is determined as follows:
Housing ……………………………………………………………………..……$4624
Food ………………………………………………………………………………$4434
Personal Expenses ……………………………………………………………..$2000
Transportation ..……...…………………………………………………………..$600
Estimated Total ………………………………………………………………..$11,658
Funding from sponsor other than applicant (Family,
Friends and/or Organization Funds):
All financial sponsors must complete the Statement of Financial
Responsibility & I-20 Verification information on the reverse (page
2) of this form or provide an equivalent formal statement of
sponsorship. Total sponsor support must cover the entire duration
of your studies at Eckerd College.
Sponsor (Family or Friend): Each sponsor must provide
evidence of sufficient funds for at least the first year of the
applicant’s study plus verification of income as evidence of
sufficient funding to cover the remaining year(s) of promised
support.
Sponsor (Organization): A promise of sponsorship can be
stated on the sponsoring organization's letterhead. The statement
should include the duration of sponsorship including the
guaranteed dollar amount for a specified period of years or for the
duration of study, or the specific type of support provided.
!
Funding from applicant’s personal finances (Self):
As the applicant, you must complete the Financial Support
Agreement on the reverse (page 2) of this form. If providing bank
statements that are in your own name only, you must show:
▪ funds on deposit to cover “Total Cost” for the first year of study
AND
▪ a reasonable plan for how you will fund the duration of your
studies beyond the first year. For example, you may submit a
letter from an employer or other sponsor that promises funding for
your remaining study. Sponsor support agreements must meet the
guidelines described in the box to the left.
!
Please return completed form to:
Eckerd College Office of Admission
4200 54
th
Avenue South
Saint Petersburg, FL 33711
Fax-727.866.2304
!
Statement of Financial Responsibility & I-20 Verification for 2009–2010
Applicant’s Personal Information (Student Information as it appears in passport)
Last or Family Name : First or Given Name: Middle Name:
Date of Birth (month/day/year): / / Place of Birth (country): Sex: ☐ Male ☐Female
Native Language: Country of Citizenship:
Permanent Address (Please note that this address cannot be a P.O. Box. You must provide an accurate and valid residential address.)
Street Address:
City:
State/ Country: Postal Code:
Email: Phone (country code-area code-local number):
Please check all that apply regarding your visa status:
☐ Initial I-20: You do not currently have an I-20 (New admission) or F-1 Visa
☐ Transfer: You have a valid F-1 Visa and an I-20 from another institution.
☐ Change of Status
☐ Reinstatement
☐ Other:
Directions: If you anticipate sponsoring your own studies, you must complete the box(es) below and submit the required documentation. If
sponsors other than yourself will be offering financial support, your sponsor(s) must complete one of the box(es) below. If multiple sponsors will
be offering support, copy both sides of this form for each sponsor. A commitment to full or partial support does not exclude you from
consideration for scholarship awards.
Applicant’s Declaration
I, ______________________________________ (applicant’s printed name), hereby promise that the information provided is correct. I
understand that I am ultimately responsible for my expenses for the length of my stay in the United States.
☐ FULL FINANCIAL SUPPORT: I will provide full financial support for Total Costs (educational & living expenses) for the entire length of the
applicant’s study at Eckerd College. Attached are original bank statement(s) in my name of adequate funding for the duration of studies.
☐ PARTIAL FINANCIAL SUPPORT: I will provide partial financial support for the items marked below. (Check all that apply.)
Tuition and fees: See page 1 for full amount of tuition and fees or $__________________
All other costs (includes all items below). To indicate specific sponsorship, please choose from the items listed below:
☐ Housing ($4624/9 months) ☐ Personal Expenses ($2,000/9 months) ☐ Health Insurance ($575/9 months)
☐ Food ($4434/9 months) ☐ Transportation ($600/9 months) ☐ Books & Supplies ($1000/9 months)
Duration of support for items indicated above:
☐ All study years ☐ 1 year ☐ 2 years ☐ 3 years ☐ Other:________________
I have attached bank statements for at least the first year of the applicant’s study plus verification of income as evidence that I have sufficient
funds to cover the remaining year(s) of promised support.
Sponsor Name: __________________________________________________________________________________
Last or Family Name/Surname First or Given
Sponsor’s Relationship to applicant: __________________________________________________________________
Mailing Address: __________________________________________________________________________________
E-mail Address: __________________________________________________________________________________
Signature: ___________________________________________________Date: ______ / ______ / ____________
Month Day Year
!
