Application Submitted to: University of North Carolina at Asheville

Application Submitted via www.CFNC.org

Confirmation Details
Confirmation Number 15452015601110420141378214611277717

Date Started 10/13/2014 9:57:00 AM

Date Submitted 11/4/2014 7:39:00 PM

Payment Type Credit Card

Application Information
Entering term and
201560
year:

Do you plan to enroll:

Do you plan to be a
strictly online
student?

Entrance status: F
First choice: UNd

Second choice:

Do you wish to receive

financial aid Y
information?

Do you plan to live

on campus?

Enrollment Term
Name:

Major 1 Name
Undecided
(hidden):

Major 2 Name
(hidden):

Are you applying as

a seconddegree
student?

Are you applying

under an articulation
agreement with your
school?

If yes, which
articulation
agreement?
Have you applied for
admission to UNCA N
in the past?

How did you first learn

Google search
about UNCA?

Have you previously

N
attended UNCA??

If yes, dates:
If yes, dates:

Student Name
Last name: White

First name: Kerry

Middle name: Sloan

Preferred name:

Suffix:
Former last name, if
any:

Current Mailing Address

Street: 5563 summit rd
City: Purlear
U.S. state/territory: NC
Canadian province:
Country: US
Date became current
07/2009
mailing address:

Street 2:
County: 097
Zip code: 28665
Postal code:
Int'l postal code:
Telephone number
where you can best (336) 4522421
be reached:

Email address: kerrysw000@gmail.com

Email verification: kerrysw000@gmail.com

Street Address
Street:

City:

County:

U.S. state/territory:

Zip code:

Canadian province:

Postal code:

Country:

Int'l postal code:

Date became street

address?

Permanent Home Mailing Address

Street: 5563 summit rd

Street 2:

City: Purlear

County: 097

U.S. state/territory: NC

Zip code: 28665

Province:

Postal code:

Country: US

Int'l postal code:

Date became
permanent home 07/2009
mailing address:

Telephone: (336) 4522421

Permanent Home Street Address

Street:

City:

County:

U.S. state/territory:

Zip code:

Canadian province:

Postal code:

Country:

Int'l postal code:

Date became
permanent home
street address:

Applicant Information
Social Security
231773111
number:

Gender: m
NC Student Number: 12105127

Date of birth: 02/08/1997

Select one or more
of the following racial White
categories:

Are you Hispanic or

N
Latino?
Ethnicity

City: Bluefield

U.S. state/territory: WV

Country: US
Language spoken at
home:

First language:
Ethnicity:

Citizenship
Are you a U.S. citizen? Y

Country of
citizenship:

Are you a permanent

U.S. resident?

Permanent
Resident/Green Card
number

Date issued:

Expiration date:

Date of entry to the

U.S.:

Visa type:

Visa number:

Date issued:

Expiration date:

Have you been

assigned an INS
SEVIS number?

INS SEVIS number:

Did another
institution issue a
Form I20 (for F,J,
or M visa) used for
your last entry to the
U.S.?

North Carolina Residency Information

If you seek instate
tuition, do you certify
that you meet the
Y
qualifications as a
legal resident of North
Carolina?
Have you ever resided
in a state other than Y
North Carolina?

If you are a resident

of North Carolina, 097
county of residence:

North Carolina last

became my
07/01/2009
permanent home
state on:

U.S. state/territory: VA

Country:

I moved to NC for the

My mother moved
following reason(s):

Location:

Dates lived here:

to:

Location:

Dates lived here:

to:

Location:

Dates lived here:

to:

Please check all

statements that apply
to you:

Additional Residency Information

Register to vote/voted:
Driver's license
NC
(acquired):

When:
When: 10/2013

Paid property tax:

When:

Filed state tax as a

resident:

When:

vote state parent1 NC

vote date parent1 11/2012

license state parent1 NC

license date
10/2009
parent1

property tax state

NC
parent1

property tax date

11/2014
parent1

filed state tax state

NC
parent1

filed state tax date

01/2014
parent1

vote state parent2

vote date parent2

license state parent2

license date
parent2

property tax state

parent2

property tax date

parent2

filed state tax state

parent2

filed state tax date

parent2

Your
earnings/employment:

Used for:

Percent of total:

Used for:

Your savings:

Used for:

Percent of total:

Used for:

Parent(s) or guardian: 100

Used for: living expenses

Percent of total: 100

Used for: living expenses

Spouse's earnings:

Used for:

Percent of total:

Used for:

Other (e.g. student

loans):

Percent of total:

Used for:

Percent of total:

Used for:

Military Status for Financial Aid and Residency

Are you currently
serving or have you
ever served in the N
United States Armed
Forces?

Are you a dependent

or a spouse of a
current or prior
N
United States Armed
Forces
servicemember?

Conduct/Judicial Information
Have you ever been
found responsible for a
disciplinary violation at
any educational
institution you have
attended from 9th
grade (or the
international
equivalent) forward,
N
whether related to
academic misconduct
or behavioral
misconduct, that
resulted in your
probation, suspension,
removal, dismissal, or
expulsion from the
institution?

Have you ever been

adjudicated guilty or
convicted of a
N
misdemeanor,
felony, or other
crime?

Do you have any

criminal charges N
pending against you?

Have you entered a

plea of no contest or
nolo contendere, or
an Alford plea, to a
misdemeanor,
felony, or other
criminal charge; or
received a deferred N
prosecution or prayer
for judgment
continued for such a
charge; or otherwise
accepted
responsibility for
such a crime?

Have you received any No Never Served

type of discharge from
military service "other
than an honorable

If you answered yes

to any of the above
questions, please
provide a detailed

discharge"?

Have you otherwise

accepted responsibility
for the commission of
a crime?

and thorough
explanation for each
item, including dates,
specific
circumstances and
outcome.
If you have ever
served in the military,
did you receive any
type of discharge
other than an
honorable
discharge?

NonContinuous Enrollment
During any school
year, have you been
out of school for
reasons other than
routine vacations, N
disabilityrelated
reasons, or
schoolrelated
activities?

Has it been 3 months

or more since you
graduated, or since N
you have been
enrolled in school?

If you answered yes to

either of the questions
above, please explain
the circumstances
below. Please be as
thorough and detailed
as possible:

Current/Recent Military Service

Current status:

Current or Last Pay

Grade:

Do you plan to use

military or veterans
educational benefits
while enrolled at this
institution?

If yes, which benefit

do you plan to use?

Branch of service:

Military facility/base:

City:

U.S. state/territory:

City:

U.S. state/territory:

Date declared:

Date entered active

service

Discharge date (actual

or anticipated)

If discharged, your
final duty station:

Military Tuition Benefit for NonNorth Carolina Residents

Military tuition self:

Family Member's Current Military Service

First name:

Middle name:

Last name:

Your relationship to
the servicemember
or veteran:

Current Status:

Current or Last Pay

Grade:

Do you plan to use

military or veterans
educational benefits
while enrolled at this
institution?

If yes, which benefit

do you plan to use?

Branch of service:

Military facility/base:

City:

U.S. state/territory:

City:

U.S. state/territory:

Date declared:

Date Service
Member entered
active service

Discharge date of
Service Member
(actual or anticipated)

If discharged, this
individual's final duty
station:

Military Tuition Benefit for NonNorth Carolina Residents

Military tuition
dependent

High Schools Attended

High school: West Wilkes High School
Type: Public
U.S. state/territory: NC
Date attended from: 08/2011

Graduation date: 06/2015

Are you currently or

have you been an
early college, middle
college or dual
enrollment student?

CEEB code: 342625

City: Millers Creek
Country: US
to: 06/2015
Please check here to
confirm that this is
your most
recent/current high
school

High school:

CEEB code:

Type:

City:

U.S. state/territory:

Country:

Date attended from:

to:

High school:

CEEB code:

Type:

City:

U.S. state/territory:

Country:

Date attended from:

to:

High school:

CEEB code:

Type:

City:

U.S. state/territory:

Country:

Date attended from:

to:

High school:

CEEB code:

Type:

City:

U.S. state/territory:

Country:

Date attended from:

to:

HSED/Adult High School Diploma

Did you receive a High
School Equivalency N
Diploma?

Date:

Did you receive an

Adult High School N
Diploma?

Date:

High School Courses

Courses in Progress Civics and Economics

Semester/Trimester: Semester

Title: Creative Writing

Semester/Trimester: Semester

Title: Algebra II

Semester/Trimester: Semester

Title: English IV

Semester/Trimester: Semester

Title: Advanced Functions and Models

Semester/Trimester: Semester

Title: Art I

Semester/Trimester: Semester

Title:

Semester/Trimester:

Title:

Semester/Trimester:

UNCCH 1
Semester/Trimester:

UNCCH 2
Semester/Trimester:

UNCCH 3
Semester/Trimester:

UNCCH 4
Semester/Trimester:

UNCCH 5
Semester/Trimester:

UNCCH 6
Semester/Trimester:

UNCCH 7
Semester/Trimester:

UNCCH 8
Semester/Trimester:

Prior Colleges/Universities Attended

Have you earned, or
will you earn, any
degree(s) before N
entering the
university?

Are you currently

enrolled at another
college?

College/University:

CEEB code:

City:

U.S. state/territory:

Country:

Dates attended:

to:

Degree earned:

Degree date:

Major:

Although a previous
classification is not
binding on a
subsequent university,
please state how this
institution most
recently classified you:

For the term:

Year:

Please check here to

confirm that this is
your most
recent/current
college

College/University:

CEEB code:

City:

U.S. state/territory:

Country:

Dates attended:

to:

Degree earned:

Degree date:

Major:

Although a previous
classification is not
binding on a
subsequent university,
please state how this
institution most
recently classified you:

For the term:

Year:

College/University:

CEEB code:

City:

U.S. state/territory:

Country:

Dates attended:

to:

Degree earned:

Degree date:

Major:

Although a previous
classification is not
binding on a
subsequent
university, please
state how this
institution most
recently classified
you:

For the term:

Year:

College/University:

CEEB code:

City:

U.S. state/territory:

Country:

Dates attended:

to:

Degree earned:

Degree date:

Major:

Although a previous
classification is not
binding on a
subsequent university,
please state how this
institution most
recently classified you:

For the term:

Year:

College/University:

CEEB code:

City:

U.S. state/territory:

Country:

Dates attended:

to:

Degree earned:

Degree date:

Major:

Although a previous
classification is not
binding on a
subsequent
university, please
state how this
institution most
recently classified
you:

For the term:

Year:

College/University:

CEEB code:

City:

U.S. state/territory:

Country:

Dates attended:

to:

Degree earned:

Degree date:

Major:
For the term:

Although a previous
classification is not
binding on a
subsequent university,
please state how this
institution most
recently classified you:
List any additional
colleges/universities
attended:

Year:

College Courses
Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Title:

Course subject and

number:

Credit hours:

College/University:

Institution CEEB:

Term:

Father
Father info living
(Y/N)(pre2010)

Is your Father Living? No

First name:

Middle name:

Last name:

Is he a U.S. citizen?

If no, country of
citizenship:

Street:

City:

U.S. state/territory:

Zip code:

Canadian province:

Postal code:

Country:

Int'l postal code:

Date lived there

from:

to:

Home telephone:

Mobile/Cell phone:

Email address:

Initial date of
residence
in NC:

Occupation:

Title/Position:

Employer:

City:

U.S. state/territory:

Country:

Dates worked from :

to:

Hours per week:

Work telephone:

College attended:

UNC Chapel Hill

Alum?

If attended NC A&T,
please indicate year
of graduation:

Indicate the highest

educational level:

Mother
Is your Mother Living? Yes
First name: Heather
Last name: Church
If no, country of
citizenship:
City: Purlear
Zip code: 28665
Postal code:
Int'l postal code:
to:
Mobile/cell phone: (336) 4522521
Initial date of
residence 07/2009
in NC:
Title/Position:
City: Boone
Country: US
to:
Work telephone: (828) 2649051
UNC Chapel Hill
Alum?

Mother info living?

(Y/N)(pre2010)
Middle name: Kathlene
Is she a U.S. citizen? Y
Street: 5563 summit rd
U.S. state/territory: NC
Canadian province:
Country: US
Date lived there
07/01/2009
from:
Home telephone: (336) 4522421
Email address: heatherchurch@rocketmail.com
Occupation: Service Manager
Employer: Mack Brown
U.S. state/territory: NC
Date worked from: 09/2014
Hours per week: 40
College attended:
If attended NC A&T,
please indicate year

10

of graduation:
Indicate the highest
Some college / no degree
educational level:

Parent Information
If your parents
are/were separated
or divorced, please
select, as
appropriate, below:

If both parents are still

living, what is their
marital status?
Did either one of your
parents attend NCCU?

Legal Guardian
Is someone other than
your mother or father
your legal guardian?

Is your legal
guardian living?

First name:

Middle name:

Last name:

Is he/she a U.S.
citizen?

If no, country of
citizenship:

Street:

City:

U.S. state/territory:

Zip code:

Canadian province:

Postal code:

Country:

Int'l postal code:

Date lived there

from:

to:

Home telephone:

Mobile/cell phone:

Email:

Initial date of
residence in NC:

Occupation:

Title/Position:

Employer:

City:

U.S. state/territory:

Country:

Date worked from:

to:

Hours per week:

Work telephone:

College attended:

If attended NC A&T,
please indicate year of
graduation:

UNC Chapel Hill

Alum?

Indicate highest
educational level:

City:

County:

U.S. state/territory:

Country:

Date of appointment:

Next of Kin
First designated next
Mother
of kin:

Second designated
Legal guardian
next of kin:

Emergency Contact
Name of:

First name:

Last name:

Street:

11

City:

U.S. state/territory:

Zip code:

Country:

Int'l postal code:

Home telephone:

Work telephone:

Extracurricular Activities
Activity Band

9 1

10 1

11 1

12

PS

Hrs/Wk 15

Wks/Yr 36

Leadership positions
held,
honors won, or letters
earned
9th: 1
11th: 1

Activity: Choral Music

10th: 1
12th:

Postsecondary:

Hours per week: 7

Weeks per year: 18

Position/Honors: All State Chorus

Activity: Drama/Theatre
10th:
12th: 1
Hours per week: 8
Position/Honors: Acted in multiple productions
9th:
11th: 1

9th:
11th: 1
Postsecondary:
Weeks per year: 36
Activity: Job
10th:
12th: 1

Postsecondary:

Hours per week: 15

Weeks per year: 52

Position/Honors: Local Sandwich Shop

Activity: Music
10th: 1
12th: 1
Hours per week: 20
Position/Honors: Guitar, piano, vocals, composition
9th:

9th:
11th: 1
Postsecondary:
Weeks per year: 52
Activity: Writing
10th:

11th:

12th: 1

Postsecondary:

Hours per week: 5

Weeks per year: 36

Position/Honors: Creative Writing

Activity:

9th:

10th:

11th:

12th:

Postsecondary:

Hours per week:

Weeks per year:

Position/Honors:

Activity:

9th:

10th:

11th:

12th:

Post Secondary:

Hours per week:

Weeks per year:

Position/Honors:

Activity:

9th:

10th:

11th:

12th:

Postsecondary:

12

Hours per week:

Weeks per year:

Position/Honors:

Activity:

9th:

10th:

11th:

12th:

Postsecondary:

Hours per week:

Weeks per year:

Position/Honors:

Activity:

9th:

10th:

11th:

12th:

Postsecondary:

Hours per week:

Weeks per year:

Position/Honors:

Activity:

9th:

10th:

11th:

12th:

Postsecondary:

Hours per week:

Weeks per year:

Position/Honors:

Academic Honors
Describe any honors
you have received as
a result of academic
achievements:

Work Experience
Nature of work: Restaurant Service and Upkeep
City:

Employer: Blimpie
U.S. state/territory: NC

Country: US

Date from: 03/2014

to:

Hours per week: 15

Nature of work:

Employer:

City:

U.S. state/territory:

Country:

Date from:

to:

Hours per week:

Nature of work:

Employer:

City:

U.S. state/territory:

Country:

Date from:

to:

Hours per week:

Nature of work:

Employer:

City:

U.S. state/territory:

Country:

Date from:

to:

Hours per week:

Nature of work:

Employer:

City:

U.S. state/territory:

Country:

Date from:

to:

Hours per week:

Residency Questions
I certify that I am a
Wilkes
bona fide resident of:
Country of residence: US

State of residence: NC
07/2009

13

I have been a
resident from:
to:

Street:

City:

U.S. state/territory:

Country:

from:

to:

Personal Questions
Have you
participated in one of
UNC Asheville's N
Summer Youth
Programs?

Are you a National

N
Merit Semifinalist?

Program:

Year:
F

Have you
participated in any of Chorus, Band, Marching Band
the following:

Do you play a musical

Y
instrument?

If yes, which
keyboards, guitar, percussion
instrument?

Briefly list any

Music based programs, environmental
activities you would
activism, Greek life, star gazing and amateur
like to participate in at
astronomy, community outreach,
UNCA:

Briefly elaborate on
one of your
extracurricular
activities or work
experiences (150
words or fewer).

If you are currently

being recruited by the
UNC Asheville Athletic
Department, please
select your sport:

Please provide your

NCAA Eligibility
Center ID number

Have you ever been

dismissed from
UNCA?

If yes, when and

reason:

Have you been

dismissed, suspended,
or placed on probation N
for academic reasons
by ANY school?

At my high school we are

required to do a graduation
project, this includes a
presentation, a product, and a
research paper. While most are
making bird houses, I decided
to do something I am
passionate about. I have been
playing music for a few years
and so I decided to create and
produce my own original music
to be released on an Extended
Play. I have taught myself piano
and learned guitar after a few
years of lessons. I am teaching
myself to operate audio
recording equipment and
software, learning about how to
create different and better
sounding music, and exploring
different style and genres of
music.

If you answered yes

to the question
above, please
explain:

Other Colleges Applying To

College/University 1: Appalachian State University

College/University 2: UNCG

College/University 3: UNCC

College/University 4: NC State University

14

UNCA Relatives
First name:

Last name:

Relationship:

Dates attended:

to:

First name:

Last name:

Relationship:

Dates attended:

to:

First name:

Last name:

Relationship:

Dates attended:

to:

Essay (Required)
Reflect on a time when
you challenged a belief
or idea. What
prompted you to act?
Would you make the
same decision again?*
(250 word minimum)

When I was around fifteen years of age I was

approaching the end of one of the most
troubled times in my life. Many teenagers
experience some form of social alienation or
become withdrawn from family, but mine was
severe. I felt as though I had no intrinsic or
instrumental value. In other words I felt
worthless and that my life would never be
worth living. I knew there were other people
my age who felt this way, and while I felt it
would last forever, I knew that eventually I
could overcome these feelings. Then things
changed for me in a way I had never expected,
and I found myself to be more compassionate
and more willing to stand for what I know is
important. Despite my feelings that I have no
real worth as person I was aware that most
people would disagree, and that humans
usually consider most other humans to be
valuable beyond the usefulness they offer to
specific other humans. However there are
living beings who are only valued on their use
to humans and I realized that not only are
these beings abused and neglected, but that I
was contributing directly to their suffering.
Whom I am referring to here is all of the life
present on Earth. I found that only within the
past few centuries mankind has posed an ever
growing danger to a planet more valuable to
us than any black gold or military agenda
could ever be. I discovered that every year
billions of animals are tortured, maimed, and
killed for their skin, fur, and flesh, yet most
people seemed unaware of the substantial
damage these practices were having on our
planets ecosystems, our overall physical well
being as a species, and our privilege to call
ourselves intelligent life. When I was finally
exposed to this after years of being kept in the
dark I found myself confused and hysterical. I
could not believe that anyone could perform
the horrors of vivisection and animal testing
under the illusion that it was benefiting
medical science in any major way. I was
appalled by the conditions that animals are
exposed to in zoos, circuses, and other animal
based forms of entertainment. I began seeing
humanity as the bloodthirsty crowd who in
ancient times would watch men fight each
other to the death in the arena. Lastly I saw
one of the most vile and most heart wrenching
atrocities man had ever created. Millions upon
millions of chickens in tiny wire cages,

15

newborn dairy cows being dragged away from

their crying mothers, piglets beaten against
hard concrete floors, and other unspeakable
horrors. These things had been hidden from
me my entire life and I realized that the image
of the elderly farmer milking his clean and
beautiful dairy cow in the barn was a lie.
However, I knew what I could do to change the
cruel fate of animals and to save myself from
the death of my compassion and kindness. I
changed my diet to one based only on plants
and discontinued my purchasing of leather,
fur, and other animal derived products. It has
not been easy and there have been many days
where I have been limited to a peanut butter
and jam sandwich or in some cases I simply
have gone hungry, but I will not give up
despite these hardships. It was not enough for
me to simply change my life, I wanted to affect
others and open their eyes to what I had seen.
My family was staunchly against my new
lifestyle, I never imagined my own family
would try and hold me back from being a
better person, though I know now they were
only worried about me. Despite their
opposition I have not given in. I began
reaching out into my community to find other
people with similar ideas. I live in a small rural
area where hunting and fishing are the norm
so it was not an easy task, yet I have found
other compassionate people. I continue to
reach out to my friends about the amazing
benefits of a plant based diet and a
sustainable lifestyle. I speak about my passion
for animals and my reverence for nature in my
music and writing. At almost every turn it
seems like everyone from my friends and
family to the government and massive
corporations have attacked me for refusing to
be cruel, yet I continue to fight. I hope to find
an easier life and other like minded people
away from my home town, but I know
wherever I am I will continue to fight for what I
know is right, because I see despite the bad
decisions we have made, we have an ever
expanding capacity to show love and kindness
towards all life on Earth.

High School Counselor

First name: Stephanie

Last name: Stone

Telephone: (336) 9734503

Test Information
Date:

Date:

Date:

Date:

Date:

Date:

Date:

Date:

Date:

Do you plan to take

the College Board
Advanced Placement
N
exams (AP) or have
you taken them in
the past?

16

Date:

Date:

Date:

Date:

Date:
Do you plan to take
International
Baccalaureate
N
Exams (IB) or have
you taken them in
the past?

Date:

Date:

Date:

Date:

Date:

College Courses In High School

Have you taken
college courses while
N
enrolled in high
school?

Name of college:

City:

U.S. state/territory:

Country:

Title:

Begin:

Ending:

Title:

Begin:

Ending:

Postsecondary Information
Are you eligible for
readmission to the last
institution you
attended?

Have you taken the

CLEP exams?

Additional Information
If there are special
circumstances related
to your academic
history, explanations
concerning your
residency, or
significant
accomplishments not
covered elsewhere on
this application, please
include them below.
Also, if your
educational career
was interrupted for
more than six months,
explain the
circumstances below.

17