7245 College St. Lima, NY 14485
Main Phone» 585.582.1230
Admissions» 1.800.670.ELIM

Online Application
Step 1
 Personal Information
Step 2
 Education and Church Information
Step 3
 Employment and Financial Information
Step 4
 Health Information and Interests
Step 5
Personal Statment
Married Student
 International Students		 Untitled Page

* Indicates a required field

Untitled Page
*Please type your full name here for ID purposes:

Student Family Form:
Questions are to be answered only by married applicants, or single applicants with dependent children.
1. Date of Marriage: (Mo./Day/Yr.)
Spouse's Name:
Spouse's Birthday: (Mo./Day/Yr.)
2. Do you expect to bring your family to Elim?
If no please explain:
3. List the name, sex, age and birthdate of your children:
Name
Sex
Age
Birthdate
4. Please ask your spouse to send a letter to admissions@elim.edu indicating his/her Christian experience and commitment and his/her feelings about your coming to Elim.