Adult Access Initiative Reservation Form

Fall 2013

To enroll in this program, please fill out ALL FIELDS in the following form. If you are not accepted to KSU, please provide your name, contact information, desired major, and answers to the short essay responses. For the short essay questions, please provide no more than a paragraph in response.

Your Name:
Telephone Number:
KSU #:
Are you a transfer student?: Yes No
Class Level: Freshman Sophomore Junior Senior
Desired Major:
Which area(s) of the COMPASS Exam do you need to take?:

Check all that apply




When did you sign up to take the COMPASS Exam?:
What are the areas that you need academic help with?
Short Essay Response: What are your goals with going back to school? Describe your academic plans and how it relates to your career goals.
Short Essay Response: Why do you want to enroll in the Adult Access Initiative Program?