First Name:          Middle Name: 

    Last Name:    

    Date of Birth: 

    Street Address:

    City:         State or Province:

    Zip or Postal Code:

    Home Phone:

    Email:

    High School:      Grad. Year:

    College(s) Attended:

    Semester(s) Attended:

    Intended Major(s): Accounting Art Art Education Biology Biology and Environmental Science Chemistry Communications Computer Information Systems Computer Science Criminal Justice/Criminology Design and Technical Theatre Economics Elementary Education Engineering English Environmental Science Exercise Science Forestry Health Hospitality and Tourism Management International Management International Marketing Management Management Information Systems Marketing Mathematics Music Music Education Nursing (RN) Physical Education Psychology & Human Services Political Science Pre-Dental Pre-Medical Pre-Ministerial Pre-Pharmacy Pre-Veterinary Recreation Management & Tourism Religion & Philosophy Religious Education Sociology Spanish Sports Management Theatre Arts Undecided Others

    Intended Activities(Sports,clubs, etc.):