Fall Scholars Day

First Name

Last Name

Birthdate

Email Address

Mobile Phone

Mailing Address

Country

Street

City

Region

Postal Code

Permanent Address

Same as Mailing Address

Country

Street

City

Region

Postal Code

Intended Major

If you're not sure, that's OK; just select "Undeclared."

Entry Term

Admit Type

Question 1

List and describe your three most significant extracurricular activities and/or leadership roles from high school and/or church.

Question 2

Briefly describe your top three learning or volunteer activities in which you have participated during the past five years.

Question 3

Briefly describe three learning experiences in which you have participated that were designed for academically-gifted students. These would include such things as classes or programs for gifted students, Advanced Placement classes, Destination Imagination, Honors, etc.

Additional Information

Do you intend to file the FAFSA?

Yes

No

What is your T-Shirt Size?

Each Scholar is allowed to bring 1 parent/guardian with them for this day.

Do you plan to bring a parent/guardian?

Yes

No

Signature

Signature (Type your full legal name)

Date

Fall Scholars Day

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