Student
Personal and Contact Information
Student Status:
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New Student
Chiropractic College Transfer Student
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Term Applying For:
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Summer Quarter 2012 (July 9)
Fall Quarter 2012(Oct. 1)
Winter Quarter 2013 (Jan.3)
Summer Quarter 2013 (July 8)
Fall Quarter 2013 (Oct.)
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Are you applying under the
"Substantially Meets" option?
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Yes
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If you hold a degree leading to licensure/registration in a health science
discipline at the baccalaureate level or above with an earned cumulative
grade point average of at least 2.50 on a scale of 4.0, or hold a baccalaureate
degree from an institution accredited by a nationally recognized accrediting
agency with an earned grade point average of at least 3.25 on a scale of
4.0, you may be admitted to the Doctor of Chiropractic Program upon presenting
evidence that your academic preparation substantially meets the requirements
for admission. Please check with the Admission
Office if you have any questions regarding this standard.
Title:
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Mr.
Mrs.
Ms.
Dr.
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Social Security Number:
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Preferred
Address to receive college information if different from above. (optional)
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Person
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Title:
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Mrs.
Ms.
Dr.
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Germany
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Greenland - Kalaallit Nunaat
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Guyane
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Palau
Palestina
Panama
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Philippines
Poland
Portugal
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Qatar
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Romania
Russian Federation (AsianPart)
Russian Federation (European Part)
Rwanda
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Permanent Email:
Day Phone:
Example: 000-000-0000
Evening Phone:
Example: 000-000-0000
Choose your citizenship status.
US Citizen
International student
INTERNATIONAL STUDENTS ONLY:
Full International Mailing Address:
If needed, please fill in the space below with your full mailing address.
We want to be sure that you give us all the information we need in order
to contact you regarding your application status.
Country of Birth
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USA
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbajan
Bahamas
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Belgium
Belize
Benin
Bermuda
Bhutan
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Bosnia and Herzegovina
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Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Chile
China
Colombia
Costa Rica
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Egypt
El Salvador
England
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Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia (Sakartvelo)
Germany
Ghana
Gouadeloupe
Greece
Greenland - Kalaallit Nunaat
Grenada
Guam
Guatemala
Guernsey
Guinea
Guyana
Guyane
Haiti
Honduras
Hong Kong
Hrvatska (Croatia)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea Republic
Kosovo
Kurdistan
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Namibia
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand (Aotearoa)
Nicaragua
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestina
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation (AsianPart)
Russian Federation (European Part)
Rwanda
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Samoa (American Samoa)
Samoa (Western Samoa)
San Marino
Saudi Arabia
Scotland
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tanzania
Thailand
Tibet
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Uganda
Ukraine
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United Kingdom
Uruguay
USA
Uzbekistan
Vatican City State - Holy See
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wales
Yemen
Yugoslavia
Zambia
Zimbabwe
What is your Immigration Status? Leave blank if you are a US citizen.
If you currently hold an F-1 Student Visa,
please the name of the issuing School:
Recruitment
Information
Recruited by:
Select Recruiter
Kristy Shepherd
Melody Sabin
Daria Winnicka
If you were not recruited by one of our recruiters above, please fill
out the information below about the person who referred you.
This person is a chiropractor.
Title:
Dr.
Mr
Mrs.
Ms.
Name:
Address 1:
Address 2:
City:
State:
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AK
AZ
AR
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CT
DE
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FL
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GU
HI
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IL
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IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal:
Country:
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USA
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbajan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Chile
China
Colombia
Costa Rica
Cuba
Cyprus
Czech Republic
Democratic Republic Congo
Denmark
Djibouti
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
England
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia (Sakartvelo)
Germany
Ghana
Gouadeloupe
Greece
Greenland - Kalaallit Nunaat
Grenada
Guam
Guatemala
Guernsey
Guinea
Guyana
Guyane
Haiti
Honduras
Hong Kong
Hrvatska (Croatia)
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea Republic
Kosovo
Kurdistan
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Namibia
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand (Aotearoa)
Nicaragua
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestina
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation (AsianPart)
Russian Federation (European Part)
Rwanda
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Samoa (American Samoa)
Samoa (Western Samoa)
San Marino
Saudi Arabia
Scotland
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tanzania
Thailand
Tibet
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Uzbekistan
Vatican City State - Holy See
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wales
Yemen
Yugoslavia
Zambia
Zimbabwe
Phone:
Example: 000-000-0000
Email:
A value is required. Invalid
format.
If not recruited or referred by a chiropractor, how did you hear about
Sherman College?
Have you ever been dropped or dismissed
from a secondary school or college?
Yes - Explain below.
Have you ever been arrested or convicted of any felony?
Yes, Arrested
Yes, Felony Conviction*
* If you have a prior felony conviction, the college cannot guarantee
that you will qualify for state licensure. See www.fclb.org for
individual state requirements.
If either of the two above is checked Yes, explain below:
Have you at any time applied for admission and been
rejected by any school?
Yes If checked, explain below.
List any scholastic or professional societies
of which you are a member.
List high school and college honors awarded and your particular interests.
List
all undergraduate colleges that you have attended, including the college
name, state, and dates of attendance. Start with the most recent college.
College 1:
State:
Select State
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AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Dates:
College 2:
State:
Select State
Not in USA
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AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Dates:
College 3:
State:
Select State
Not in USA
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Dates:
College 4:
State:
Select State
Not in USA
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Dates:
College 5:
State:
Select State
Not in USA
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Dates:
List other
chiropractic colleges or graduate schools you have attended, including the
college name, state, and dates of attendance. Start with the most recent
college.
Grad 1:
State:
Select State
Not in USA
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Dates:
Grad 2:
State:
Select State
Not in USA
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Dates:
Grad 3:
State:
Select State
Not in USA
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Dates:
If you
are currently completing your prerequisite courses for admission, please
list the specific title of the course, the college you are attending, and
the date you expect to complete the course.
Course 1:
College:
Completion date:
Course 2:
College:
Completion date:
Course 3:
College:
Completion date:
Course 4:
College:
Completion date:
Course 5:
College:
Completion date:
Please
complete the following essay statements. Each essay should be at least 250,
words but no more than 500 words, for each of the following statements.
You may use a word processor to write the answer, and then paste it in
the block below.
Essay 1. I would make an excellent
doctor of chiropractic because...
A value is required.
Essay 2. I have chosen to attend
Sherman College of Chiropractic because...
A value is required.
Physical
Qualifications
Sherman College of Chiropractic requires certain physical qualifications
essential to the preparation of a doctor of chiropractic. The purpose of
these physical qualifications is to ensure that students entering Sherman
College will be able to perform in a satisfactory manner in the classroom,
clinic and laboratory settings. In addition, Sherman College expects all
students to participate as both “doctor” and “patient” in
all laboratory aspects of the didactic and clinical program. This includes
demonstrating patient examination and adjustment procedures as well as serving
as a patient for another student to demonstrate patient examination and
adjustment procedures under faculty supervision.
The physical qualifications, considered a necessary aspect of the Sherman
College curriculum, are as follows:
1. The student must possess sufficient coordination of the upper
limbs necessary to stand independently and perform a range of chiropractic
adjustments and patient examination procedures at a level of skill sufficient
to meet Sherman College educational standards.
Choose option below
I am able to fulfill this requirement with
or without reasonable accommodation.
I am unable to fulfill this requirement with
or without reasonable accommodation.
If you are unable to fulfil this requirement, please explain.
2. The student must possess sufficient coordination of the lower
limbs necessary to stand independently and perform a range of chiropractic
adjustments and patient examination procedures at a level of skill sufficient
to meet Sherman College educational standards.
Choose option below
I am able to fulfill this requirement with
or without reasonable accommodation.
I am unable to fulfill this requirement with
or without reasonable accommodation.
If you are unable to fulfil this requirement, please explain.
3. The student must have sufficient manual dexterity to perform
safely in all laboratory and clinical settings without posing a personal
threat or endangering the safety and well-being of fellow students or patients.
Choose option below
I am able to fulfill this requirement with
or without reasonable accommodation.
I am unable to fulfill this requirement with
or without reasonable accommodation.
If you are unable to fulfil this requirement, please explain.
4. The student must have sufficient auditory senses to obtain
patient histories, hear and interpret heart and lung sounds and to present
findings to patients.
Choose option below
I am able to fulfill this requirement with
or without reasonable accommodation.
I am unable to fulfill this requirement with
or without reasonable accommodation.
If you are unable to fulfil this requirement, please explain.
5. The student must have sufficient visual senses to conduct patient
examinations and to record patient histories and examination findings.
The student must also possess the visual sense necessary to read and interpret
x-ray and microscopic findings.
Choose option below
I am able to fulfill this requirement with
or without reasonable accommodation.
I am unable to fulfill this requirement with
or without reasonable accommodation.
If you are unable to fulfil this requirement, please explain.
6. The student must have sufficient tactile sensitivity and manual
dexterity to perform patient examination, palpatory and adjustment procedures.
Choose option below
I am able to fulfill this requirement with
or without reasonable accommodation.
I am unable to fulfill this requirement with
or without reasonable accommodation.
If you are unable to fulfil this requirement, please explain.
The applicant should consider whether he/she has the physical ability
to perform these tasks. Physically challenged students may have to demonstrate,
to the satisfaction of the Sherman College Admission Committee, that they
are able to meet the physical qualifications stated above before being admitted
to the program.
If an applicant feels that he or she is not able to meet the physical
qualifications, the college strongly recommends a discussion prior to enrollment
as to whether the lack of such abilities might be reasonably accommodated
and to what degree.
Pursuant to the Americans with Disabilities Act (ADA) and the Rehabilitation
Act, the college provides reasonable and appropriate accommodations for
students with documented disabilities. Reasonable accommodations vary according
to the circumstances of each case.
Review of requests will be made on an individual basis and reasonable
accommodations afforded, if any, will depend on such factors as the nature
and extent of the disability, documentation provided, and the requirements
of the curriculum. It is the responsibility of the student to provide the
college with an up-to-date evaluation detailing his or her specific physical
disability.
Sherman College reserves the right to request that the student be re-evaluated
by a trained evaluator from a college approved list, if the original documentation
provided is not sufficient for a proper analysis of the student’s
accommodation needs and/or if the college desires another opinion. Ideally,
this process should be completed prior to admission to the college.
Reasonable accommodations that do not alter college curriculum requirements
and/or policies will be provided for qualified students with documented
disabilities. The college is not required to provide aids, devices or services
of a personal nature. The college is not required to alter its curriculum
or program requirements.
Do you need a reasonable accommodation to fulfill any of the above requirements?
Choose option below
No
Yes
If you answered yes, an Accommodation Request application along with the
college’s Equal Opportunity and Accommodations Policy will be sent
to you. You must complete and submit the Accommodation Request application
along with the required documentation to the Office of Student Services
by the deadline detailed in the policy. Failure to submit all required documentation,
as outlined in the Equal Opportunity and Accommodations Policy may result
in denial of all or part of the accommodations request, a delay in acceptance
to the college and/or a delay in starting the program. Incomplete applications
will not be considered.
I have read the Disability Information . I
acknowledge that I have read and understand the above information. I also
acknowledge that I have had an opportunity to ask questions about this information.
I further certify that I have answered the above-outlined questions honestly
and to the best of my ability. I understand that false answers or omissions
may result in denial of admission to the doctor of chiropractic program
or dismissal from the doctor of chiropractic degree program.
If you have any questions, please contact
Kristy Shepherd
Director of Admission
Sherman College of Chiropractic
2020 Springfield Road,
Spartanburg, SC 29316
800-849-8771, ext. 221
kshepherd@sherman.edu
LaShanda Hutto-Harris
Dean of Students
Sherman College of Chiropractic
2020 Springfield Road,
Spartanburg, SC 29316
800-849-8771, ext. 224
lharris@sherman.edu
REQUIRED: Please provide two letters of recommendation.
We suggest one letter be from a chiropractor and the other from a professional
person.
Mail letters of recommendation to:
Admissions Office
Sherman College of Chiropractic
P.O. Box 1452
Spartanburg, SC 29304
Reservation of
Rights and Notice of Non-Discrimination: Sherman College of Chiropractic
reserves the right, without notice, to modify the requirements for admission
or graduation; to change the arrangements or content of courses, the instructional
materials used, the tuition and other fees; to alter any regulation affecting
the student body; to refuse admission or readmission to any student at any
time, or to dismiss any student at any time, should it be in the interest
of the college or the student to do so. The college also reserves the same
right as to any other material in this application and the Bulletin. It is
the duty of the student to inquire as to whether any change has been made.
Sherman College of Chiropractic offers equal opportunity to all persons without
regard to races, sex, age, creed, color, national origin, religion, marital
status, disability or other protected classes. This applies to all Sherman
College policies and programs.
I Agree. By checking the "I agree"
button to the left, I agree, if accepted, to abide by all college rules
and regulations in effect during my enrollment. I certify that the information reported on this application is true and complete to the best of my knowledge.