Prospective Student Information Form

Date
Last Name
First Name
Address
City
State
Zip
Phone
Email
High School
Year of Graduation
   

Major Interests:  Highest preference should be first choice.

   
1st Choice
2nd Choice 
3rd Choice
   
Check here if interested in living in the dorms on campus. Note: Dorm applications are available by clicking here.
   
Activity Interests: Highest preference should be first choice
   
1st Choice
2nd Choice
3rd Choice
4th Choice
5th Choice
   
Type the characters shown in image for verification.* 
   
*Competitive Scholarships **Academic honor society ***Psychology honor society ****Tutoring and academic support