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Name(Required)

First Middle Last

Maiden Name

Other Names which may appear on documents

Social Security Number(Required)

Email(Required)

Cell Phone Number(Required)

May we use your cell number to send informational texts to you from Rust College?(Required)

Yes

Permanent Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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

What is your date of birth?(Required)

MM slash DD slash YYYY

Please write in the gender you identify with.

Are you a US citizen(Required)

Yes

Resident Alien

Are you Hispanic or Latino?(Required)

Yes

This information will be used in a non-discriminatory manner, consistent with applicable civil rights laws.

How do you describe yourself?(Required)

Native American

Asian or Pacific Islander

Black

Hispanic

White

Other

Prefer not to answer

This information will be used in a non-discriminatory manner, consistent with applicable civil rights laws.

What high school did or do you attend?(Required)

Location of your high school?(Required)

What year did you or do you expect to graduate?(Required)

What is your high school cumulative grade point average (CGPA)?(Required)

Name of college or university you are transferring from? (for transfer students only)

Location of college or university? (for transfer students only)

What is your cumulative grade point average? (for transfer students only)

Do you plan to (choose all that apply)(Required)

Live on campus

Live off campus

Take online classes

Take classes on campus and online

I plan to attend (Choose all that apply)(Required)

Fall semester

Spring semester

Summer school

What degree are you interested in ?(Required)

I expect to be a:(Required)

Freshman

Sophomore

Junior

Senior

I am:(Required)

First-Time Freshman

Readmit

Transfer

Transient

Non-Degree Seeking Student

Post-Baccalaureate

High School Student Taking College Courses

For More Information After Submitting Your Application Please Contact Admissions At 662-252-8000 ext. 4058 or 4059

I certify that the information I’m submitting on this form is correct.(Required)

I certify that the information I’m submitting on this form is correct.

150 Rust Ave
Holly Springs, MS 38635
(662) 252-8000

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Rust College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award associate and baccalaureate degrees. Contact the Southern Association of Colleges and Schools Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30003-4097 or call 404-679-5400 for questions about the accreditation of Rust College

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