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Access and Inclusion
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Academics
Admission & Financial Aid
Student Experience
Why Mount Holyoke
Mosaic 2026 Student Application
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We are so excited that you’re interested in applying to
Mosaic 2026!
Before you get started please review the items needed to complete the application:
A few short answer questions and one extended response about your interests, background, and academics.
A high school transcript for 9th, 10th and 11th grade, including final junior year grades
(You may submit an unofficial copy. Screenshots and photos are accepted!).
Make sure you can attend our program taking place from Saturday, November 7 through Monday, November 9!
You
will not
be able to save and return to this form. We recommend drafting your responses on a separate document before entering them in this form.
Program space is limited, please apply as soon as possible.
Applications are considered as they are submitted before the following deadlines.
Program Date
Application Deadline
November 7 - November 9
September 25 11:59 PM
Student Information
First Name (As shown on Government-issued identification)*
Last Name (As shown on Government-issued identification)*
Preferred Name
Pronouns
(optional)
Date of Birth*
Date of Birth*
January
February
March
April
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June
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August
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October
November
December
1
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1911
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1908
1907
1906
1905
1904
1903
1902
1901
1900
Sex*
Sex*
Female
Male
Not declared
If you would like the opportunity, we invite you to share more about your gender identity below.
How did you hear about Mosaic? Select all that apply.
How did you hear about Mosaic? Select all that apply.
Counselor/CBO
Email campaign
Word of mouth
Other (please specify)
Other (please specify)
Contact Information
Email Address*
Confirm Email Address*
Mobile Phone*
Text message opt-in*
Text message opt-in*
Yes, I would like to receive text messages from Mount Holyoke College
No, I would not like to receive text messages from Mount Holyoke College
Address*
Address*
Country
Street
City
Region
Postal Code
Demographic and Family Background
Race and Ethnicity
Are you of Hispanic or Latine/o/a/x descent?
Are you of Hispanic or Latine/o/a/x descent?
Yes
No
Regardless of how you answered the previous question, please select one or more of the following ethnicities that best describe you
(use the CTRL key to select more than one):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Would you like to further specify your racial or ethnic identity?:
Family Information
What is the highest level of education any of your parents/legal guardians have achieved?
What is the highest level of education any of your parents/legal guardians have achieved?
Middle school or lower
High school/GED
Associates degree
Bachelors degree
Masters degree or higher
Did they attend college in the United States?
Did they attend college in the United States?
Yes
No
Are you going to be the first person in your family to attend college
in the United States
?*
Are you going to be the first person in your family to attend college
in the United States
?*
Yes
No
Do you receive free or reduced lunch?*
Do you receive free or reduced lunch?*
Yes
No
Not sure
Parent/Guardian Information
Parent/Guardian 1
First Name*
Last Name*
Email*
Relationship*
Father
Legal Guardian
Mother
Step-Father
Step-Mother
Does this parent/guardian share your mailing address?*
Does this parent/guardian share your mailing address?*
Yes, this parent/guardian shares my mailing address
No, this parent/guardian has a different mailing address
Parent/Guardian 1 Address
Parent/Guardian 1 Address
Country
Street
City
Region
Postal Code
Do you wish to submit information for an additional parent/guardian?*
Do you wish to submit information for an additional parent/guardian?*
Yes
No
Parent/Guardian 2
First Name*
Last Name*
Email*
Relationship*
Father
Legal Guardian
Mother
Step-Father
Step-Mother
Does this parent/guardian share your mailing address?*
Does this parent/guardian share your mailing address?*
Yes, this parent/guardian shares my mailing address
No, this parent/guardian has a different mailing address
Parent/Guardian 2 Address
Parent/Guardian 2 Address
Country
Street
City
Region
Postal Code
Academic Information
High School Information
Name of High School*
CEEB [HIDDEN}
# of Years Attended*
Add another High School?
Add another High School?
Yes
No
Name of High School*
CEEB [HIDDEN]
# of Years Attended*
Student Type [HIDDEN]
Student Type [HIDDEN]
First-Year
Frances Perkins
Transfer
High School Graduation Year*
2027
Anticipated Entry Term*
2027 Fall
I affirm that I am a high school senior who will be entering college in Fall 2027*
I affirm that I am a high school senior who will be entering college in Fall 2027*
Yes
No
You must be entering college in 2027 in order to apply for our program.
Community-Based Organization Affiliation (i.e. A Better Chance, Posse, QuestBridge, Minds Matter, Chicago Scholars, Prep for Prep, etc.)
Additional Community-Based Organization Affiliation(s)
Additional Community-Based Organization Affiliation(s)
Please indicate your current academic interest(s)*
Additional academic interest (optional)
Additional academic interest (optional)
School/Community Based Organization Counselor Information
Counselor's First Name*
Counselor's Last Name*
Counselor Email*
Counselor Phone
What is the name of your counselor's school/CBO?*
Academic Information
Approximate Size of Graduating Class*
Does your school offer any of the following types of classes?
Advanced Placement (AP)
International Baccalaureate (IB)
Honors
Advanced International Certificate of Edication (AICE)
Other (indicate below)
School Rigor
Please list
all
of the classes you plan to take senior year.*
Upload your high school transcript for 9th, 10th, and 11th grade, including
final
junior year grades (You may submit an unofficial copy. Screenshots and pictures are accepted!).*
Academic Short Answers
Please share any additional information about your academics. You can use this space to provide context/an explanation about lower grades, changes in schools, etc. (optional)
Co-Curricular Information
Please list the co-curricular activities that you are involved in using the following format:*
Name of co-curricular activity (years participated): 1-2 sentences describing your involvement or leadership.
In 1-3 sentences tell the reader about the co-curricular activity or involvement that is the most meaningful to you and why.
List any significant family responsibilities or work experiences.
Please upload a copy of your resume
Written Responses
Short Answer Questions
Please answer the following prompts in 1-3 sentences
Hint: the why is important to us.
Why Mount Holyoke College?*
Paragraph Answer Question
Please answer the following question in 1-3 paragraphs
Every day, our students cultivate the competence, confidence, and courage to make an impact -- whether on a personal, community, or global level. Tell us your story. What forms your aspirations? How has your community shaped your way of thinking or perspective?*
Certifications
I understand that
IF ADMITTED
, in order for you to confirm my travel arrangements to the program, I need to register for the event
and
submit the Waiver of Liability. I understand that failure to do so will result in forfeiture of my participation in Mosaic.*
I understand that
IF ADMITTED
, in order for you to confirm my travel arrangements to the program, I need to register for the event
and
submit the Waiver of Liability. I understand that failure to do so will result in forfeiture of my participation in Mosaic.*
I understand
My signature below confirms that all the information contained in this application is factually correct and honestly presented. I understand that I will only be awarded travel to the college if I am admitted to Mosaic.
I also acknowledge that if admitted to Mosaic I will be committed to meeting new people, open to building connections and bring my true authentic self to the program!
In place of your signature, please type your full name.*
Submit
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