Please list the adults who have legal rights and responsibilities toward you. If you wish, you may list on an attached sheet step-parents and/or other adults with whom you reside, or who otherwise help care for you. You may also list additional deceased parents.

Please list all secondary schools, including summer sessions and institutions you have attended, grades 9 through 12. List in chronological order with current school last.

List any job (including summer employment) you have held, Specifc nature of work, Employer, Approximate dates of employment and Approximate number of hours spent per week. (if not a CLIMB student fill in N/A)

Final page

My digital signature below indicates that all information contained in my application is complete, factually correct, and honestly presented. Wilberforce University accepts qualifed candidates for admission without regard to race, color, creed, sex, sexual orientation, national or ethnic origin, age, religion, handicap, or disability. * Failure to sign will delay the processing of your application. *