Ferris State University/Kendall College of Art and Design

Application
* Denotes required fields

Where will you be attending?

*Choose one:

Ferris State University (FSU)

International or Domestic
*Do you intend to enroll as an international student on
No
a U.S. Visa?:

Level Ferris State University Domestic

Please choose a level based on these definitions:
Undergraduate

Associate and bachelor's level programs.

Graduate

Master's level programs. For students who are near completion or have already completed a
bachelor's degree.
Doctoral

Doctoral level programs. For students who are near completion or have completed a master's level
degree.
Non-Degree

Planning to take courses as a non-degree seeking student or earning credit while attending a
workshop or conference. (Nondegree seeking students must reside within a 50 mile radius of the main campus, are not eligible for
financial aid, and are limited
to 9 credits per semester.)
*Level:

Undergraduate

Location
*Location:

Big Rapids/Main Campus

Prior College Credit

*I earned college credit while in high school.:

No

*I earned college credit after completing a High School

No
Diploma/GED. :

Attend After High School Ferris State University Undergraduate

*Were you ever enrolled at FSU as an undergraduate
student after completing a High School
Diploma/GED? :

No

Semester Ferris State University Domestic

If you have already submitted an application for Ferris State Univeristy and need to update application
information (ie: change program, address, etc.) please contact the Admissions Office to update your application
information. A new application is not required to update this information.
*Select the semester for which you are applying:

Fall 2016

Student Information
*First Name:

Jared

Middle Name:

Robert

*Last Name (Family/Surname):

Kughn

Suffix (Jr., Sr., IV, etc.):

*Birth Month:

December

*Birth Day:

15

*Birth Year:

1997

E-mail
Please enter an email address that you will check regularly. We will communicate with you regarding your
application via this email address.
*E-mail:

jaredkughn@frontiernet.net

*Confirm E-mail:

jaredkughn@frontiernet.net

Country of Birth and Citizenship

Please note that the responses to the questions below are voluntary and will neither be shared nor used to
deny access or admission. This information is collected for mandated state and federal reporting purposes only.
Country of Birth:

United States

Country of Citizenship:

United States

Gender
Please note the responses to the questions below are voluntary and will neither be shared nor used to deny
access, admission, or financial aid. Some of the wording that follows has been recommended by the federal
government. This information is collected for federal reporting purposes only.
Sex:

Male

Race
Please check all races that apply.
American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Veteran Status
Are you a veteran, an active member of the military, a
member of the National Guard or military reserves, or
the spouse or dependent of a veteran, active member No
of the military or member of the National Guard or
military reserves? :

Permanent Mailing Address Domestic

*Street 1:

8836 Thorne

*City:

Horton

*State/Province:

Michigan

*Zip Code:

49246

*Country:

United States

Phone

Home Phone
Permanent Area Code/Country Code (no dashes) (User
517
numbers only):
Permanent Phone Number (no dashes) (Use numbers
5638815
only):
Cell Phone
Is this number the same as your home phone?:

No

Cell Area Code/Country Code (no dashes) (Use

numbers only):

517

Cell Phone Number (no dashes) (Use numbers only):

7695620

Text Message Opt-In

If you choose to opt-in, please be sure to provide us with your cell phone number above.
Would you like to Opt-In for text messaging? (Opting in
has no bearing on the provision of services. Users can Yes
opt out at any time.):

Emergency Contact Information

*Relationship:

Father

*First Name:

Gregory

Middle Name:

Paul

*Last Name:

Kughn

*Street 1 Address:

8836 Thorne

*City:

Horton

*State/Province (If you do not

find your state/province please
select Unknown):

Michigan

*Zip:

49246

*Country:

United States

*Area Code/Country Code (no

dashes):

49246

*Phone Number (no dashes):

5177451173

Parent or Guardian email

address to receive updates and kughn@frontiernet.net
info.:

Program - Ferris State University Main Undergraduate Dom

*Program:

Plastics Engineering Technology (BS)

Social Security Number (SSN)

Please provide your Social Security Number (SSN)
here:

Dependent Information

Dependent 1
Dependent 1 First Name:
Dependent 1 Middle Name:
Dependent 1 Last Name:
*Dependent 1 Relationship:
Dependent 1 Date of Birth (Western Format
MM/DD/YYYY):
Dependent 2
Dependent 1 First Name:
Dependent 1 Middle Name:
Dependent 1 Last Name:
*Dependent 1 Relationship:
Dependent 1 Date of Birth (Western Format
MM/DD/YYYY):
Dependent 3
Dependent 1 First Name:

383210855

Dependent 1 Middle Name:

Dependent 1 Last Name:
*Dependent 1 Relationship:
Dependent 1 Date of Birth (Western Format
MM/DD/YYYY):

High School
Please click the "Lookup" button to find the high school code for the school you will or have graduated from.
*HS Code:

231855

HS Name:

Hanover Horton High School

Additional Dependent Information

Dependent 4
Dependent 1 First Name:
Dependent 1 Middle Name:
Dependent 1 Last Name:
*Dependent 1 Relationship:
Dependent 1 Date of Birth (Western Format
MM/DD/YYYY):
Dependent 5
Dependent 1 First Name:
Dependent 1 Middle Name:
Dependent 1 Last Name:
*Dependent 1 Relationship:
Dependent 1 Date of Birth (Western Format
MM/DD/YYYY):
Dependent 6
Dependent 1 First Name:
Dependent 1 Middle Name:
Dependent 1 Last Name:
*Dependent 1 Relationship:
Dependent 1 Date of Birth (Western Format
MM/DD/YYYY):

Misconduct Questions

Misdemeanor/Suspended

1) Have you ever:

a) Been convicted, plead guilty, no contest or nolo contende to a misdemeanor offense(s)?
-ORb) For disciplinary reasons, been expelled, suspended for a week or longer, placed on disciplinary probation, or
been subject to any other disciplinary action at any college or university (including Ferris or Kendall) you have
attended?
*Choose Yes or No:
No
Felony
2) Have you ever been convicted, plead guilty, no contest or nolo contende to a felony offense(s)?
*Choose Yes or No:
No

As a Ferris State University Freshman applicant...

You are nearly complete with your application for admission. Your next steps will be to:

Submit your application.

Submit official required documents* (Please allow 2-4 weeks for application processing upon receipt of
all required documents) to:

Ferris State University

Admissions Office
1201 S State St CSS 201
Big Rapids MI 49307

Incoming freshman applicants need to submit official high school transcripts or GED scores along
with ACT/SAT test scores.

Dual Enrolled Freshman with college work, are encouraged to submit official college/university
transcripts.

*I have read the information above and

understand the requirements.

Date Submitted: 10/27/2015

*Click the submit button to Submit your application now. To save and return at a later time click on Save and
Close.