First Name:*
Middle Name:
Last Name:*
Preferred Name:*
Gender:*
Male
Female
E-mail Address: (Tour confirmation will be sent to this address.)*
Other E-mail: (Please send personal tour confirmation to this other e-mail address. I.E., Parent's e-mail address)
Mailing Address:*
City:*
State:*
Zip:*
Home Phone:*
Cell phone:
Date of Birth:
Type of Student:*
High School Sophomore
High School Junior
High School Senior
College Transfer
Other
High School Currently Attending:
College Currently Attending:
High School Graduation Year:*
Semester you plan to Enroll:*
Fall 2013
Spring 2014
Fall 2014
other
Intended Major:*
Athletic Training
Biology
Business Administration
Chemistry
Criminal Justice
Education (Elementary)
Education (Secondary)
English
History
International Studies
Kinesiology
Liberal Studies
Mass Communications
Mathematics
Music
Nursing
Pre-Professional Programs (Pre-med, Pre-Dental, etc.)
Psychology
Religion
Sociology
Spanish
Speech Communications
Theatre Arts
University Studies
Undecided
Other
SAT Score:
ACT Score:
Date of Visit:
May
Day:
1
2
3
6
7
8
9
10
13
14
15
16
17
20
21
22
23
24
27
28
29
30
31
Year:
2013
Date of Visit:
June
Day:
3
4
5
6
10
11
12
13
17
18
19
20
24
25
26
27
Year:
Date of Visit:
July
Day:
1
2
3
8
9
10
11
15
16
17
18
22
23
24
25
29
30
31
Year:
Tour Time: (Tours leave promptly at these times, Monday through Friday, so please arrive a few minutes early.)*
9.00 am
10.00 am
11.00 am Admissions visit available before tour or at 1.00
1.00 pm
2.00 pm
3.00 pm
Would you like to visit with an Admissions Counselor?*
Yes
No
We encourage all visitors to take advantage of meeting with an Admissions Counselor. In addition, we prefer you visit with your counselor after your tour to allow adequate time for questions. However, if your schedule deems that you prefer the 11:00 tour slot and you must meet with your counselor before your tour, please plan to arrive one hour prior to your tour time to allow for your Admissions Counselor meeting.
Before Tour
After Tour
Are you interested in having lunch in the cafeteria? (Lunch served until 1:00 pm.)*Not offered during May, June, July, and August*
Yes
No
Are you interested in meeting a faculty member? (subject to availability, typically not available during May, June, July, & August)*
Yes
No
If so, within what department?
Would you like to attend a class? (subject to availability, please allow enough time to attend the class. MWF=50 minutes, TTh=80 minutes) *Not offered during May, June, July, and August*
Yes
No
If so, in what area of study?
Are you interested in visiting with a coach? (subject to availability)
Yes
No
If so, what sport?
Baseball
Basketball
Cross-Country
Football
Soccer
Softball
Tennis
Volleyball
Are you interested in attending chapel? (Available only on Monday and Wednesday at 10:00-10:50) *Not offered during May, June, July, and August
Yes
No
Number of persons to visit with you: (not counting yourself)*
What church do you attend regularly?
Extracurricular Activities:
How did you hear about ETBU?*
Additional information/comments:
All fields marked with an asterisk (*) are mandatory.