Name:
E-mail Address:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Home Phone:
Work Phone:

Year you completed (will complete) high school studies:
Year you expect to begin college:

Send me more information about:

Admission	Financial Aid
Housing	Project EXCEL
International Students	Credit for Experience
Accelerated/Weekend	Get Acquainted Day/Open Houses
Evening Programs	Other:

Check all that interest you:

MAJORS (Undergraduate):
  * areas with (A) can also be completed in accelerated format

Accounting (A)	Criminology/Sociology
Natural Science	Art
Education, Incl. Early Childhood	Nursing (A-BSN Completion)
Art Education	Education, Middle Childhood
Paralegal Studies	Athletic Training
English	Psychology
Biochemistry	Fine Arts
Religious Education	Biology
Graphic Design	Religious Pastoral Ministry
Business Administration (A)	History
Religious Studies	Business Administration / Mathematics
Interior Design	Social Work (A)
Chemistry	Liberal Studies (A)
Sociology	Chemistry / Mathematics
Mathematics	Special Education (ages 3-21)
Communication Studies (A)	Mathematics / Chemistry
Undeclared	Computer Info. Systems (A)
Music

CERTIFICATE PROGRAMS:

iDesign

Paralegal Studies

GRADUATE PROGRAMS:

Education	Organizational Leadership
Religious Studies	Nursing
Doctor of Physical Therapy	TEAM-AYA
TEAM-MSE	TEAM-IEC

ATHLETICS:

Baseball	Football
(M) (W) Tennis	(M) (W) Basketball
(M) (W) Golf	(M) (W) Track & Field
Cheerleading	(M) (W) Lacrosse
Volleyball (W)	(M) (W) Cross Country
(M) (W) Soccer	Wrestling
Dance	Softball

ADDITIONAL INTERESTS:

Band	Student Newspaper
Honors Program	Academic Exploration Program
Clubs & Organizations	Cooperative Education
Service learning	Residence Hall

  Other (please specify)

MARKETING:
How did you first learn about the Mount? (check all that apply)

Brochure	Newspaper Ad
Magazine Ad	Radio Ad
Letter from coach, faculty member or admission counselor	Visit to campus
Visit by Mount Admission Counselor to my school or place of employment	Friend, relative or work colleague
Guidance or Career Counselor

College Search Engine (please list Search Engine name(s))


COMMENTS/QUESTIONS: