Degree Completion Application

Interaction

Personal Background

First Name

Middle Name

Last Name

Preferred Name (Nickname)

Other Last Names Used

Birthdate

Gender

Email Address

Mobile Phone (Please include area code)

It is okay to share visit updates and other important information from York College with me via text message.

Yes

By selecting “Yes” and submitting this form, you consent to receive marketing communications from York College of Pennsylvania, including text messages, phone calls (which may be placed using an automatic dialing system), and emails, at the number and email address you provided. These communications may be sent by York College or its authorized partners. Your consent is not a condition of enrollment or purchase of any goods or services.

Home Phone (Please include area code)

Mailing Address

Country

Street

City

Region

Postal Code

Is your permanent address the same as your mailing address?

Permanent Address

Country

Street

City

Region

Postal Code

Country of citizenship

Permanent Resident of the U.S.

Current Immigration Status

Visa Type

Social Security Number

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Race/Ethnicity - Are you Hispanic or Latino?

Race/Ethnicity - Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Plan of Study

Intended Program of Study

Application Starting Term (Edit)

Admit Type (Full time: 12 or more credits; Part time: less than 12)

Have you previously applied to York College?

If so tell us your previous application term (For example, Fall 2025, Spring 2026):

Are you a current or previous student at York College?

Please note that current or previous YCP students are not required to submit official YCP transcripts.

Academic History

Starting with the most recently attended, please list all of the colleges/universities you have attended in the past. If your college/university is not listed in the drop-down menu, please type the institution's entire name.

Institution

CEEB

Level of Study

City

State/Region

Country

Graduation Date

Degree

Have you attended additional universities/colleges?

Additional University/College - 1

CEEB

Level of Study

City

State/Region

Country

Additional University/College - 2

CEEB

Level of Study

City

State/Region

Country

Additional University/College - 3

CEEB

Level of Study

City

State/Region

Country

Additional University/College - 4

CEEB

Level of Study

City

State/Region

Country

Employment Information

Are you currently Employed?

What is the name of your current employer?

What is your current job title/occupation?

Current employer's address - street 1

Current employer's address - street 2

Current employer's address - city

Current employer's address - state

Additional Information

We value cultural and religious diversity. Please know we use this information solely for internal purposes and research.

Religious preference (optional)

U.S. Armed Forces status (optional)

Have any of your family members ever attended York College?

Relationship

Are you comfortable with being contacted via mobile phone (phone calls/text messaging)?

Language

Number of languages that your are proficient in:

Language 1 (Native language):

Language 1 - Native language proficiency (multi-select):

Language 2:

Language 2 - proficiency (multi-select):

Language 3:

Language 3 - proficiency (multi-select):

Disciplinary History

Have you ever been found responsible for a formal disciplinary violation at any educational institution you have attended, whether related to academic misconduct or behavioral misconduct, that resulted in an official disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.

Please give the approximate date(s) of each incident, explain the circumstances and reflect on what you learned from the experience.

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.

Please provide the details of your criminal conviction or adjudication and reflect on what you learned from the experience.

Signature

From time to time, photographs or video images may be taken at various program activities and those photos and images may be used by York College of Pennsylvania in promotional materials without compensation or further agreement.

By my signature below, I certify that all information submitted in the admission process, including this application and any other supporting materials, is my own work, factually true, and honestly presented, and that these documents will become the property of the institution to which I am applying and will not be returned to me. I understand that I may be subject to a range of disciplinary actions, including the revocation of admission, expulsion, or the revocation of course credit, grades, and the degree, should the information I have certified be false.

Click to Sign...