|
First Name
|
|
| Middle
Initial |
|
| Last
Name |
|
| Preferred
Name |
|
| Mailing
Address |
|
| City |
|
| State |
|
| Zip
|
|
| County
(KY residents only) |
|
| Home
Phone Number |
|
| Best time to call: |
|
| Email (required) |
|
| High
School |
|
| Graduation
Date |
|
| High
School GPA |
|
| ACT/SAT |
|
| TOEFL |
|
| College(s)
attended |
|
| Cumulative
College GPA |
|
| Semester
hours completed |
|
| Intended
major |
|
| Athletics
Interests |
|
| Church
Denomination |
|
| Are
you interested in attending an open house? |
Yes
No |
| Semester
& year of interest: |
Summer 2008
Fall 2008
Spring 2009
Summer 2009
Fall 2009
Other:
|
| Course
program of interest: |
Day (Women's College)
Evening (SCD)
Weekend (SCD) |
| How did you learn about Midway College? |
Internet/Website
Newspaper
Radio
Television
Magazine
College Fair
Parent
Current Student
High School Counselor/Teacher/Coach
Other
|
|
|
