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Help us serve you better by telling us about yourself.  Although only the first two sections are required, the more you provide, the better we can respond to your needs!

General Information

Name

Gender

MaleFemale

Date of Birth

Contact Information

Email

Address

City

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington, D.C.West VirginiaWisconsinWyoming

Country

Zip Code

Phone (including area code)

Education Information

School now attending

Year of high school graduation

If you attend(ed) a community college, what year did/will you graduate?

ACT score

SAT score

Year and semester you are planning to enter Mississippi College

Possible area(s) in which you plan to majorArtBiologyBusinessChemistryChristian Studies and PhilosophyCommunicationComputer SciencePhysicsEducationEnglishHistory and Political ScienceKinesiologyMathematicsForeign LanguagesMusicNursingPsychologySociology and Social WorkUndecided

Possible area(s) in which you plan to major (2nd choice)ArtBiologyBusinessChemistryChristian Studies and PhilosophyCommunicationComputer SciencePhysicsEducationEnglishHistory and Political ScienceKinesiologyMathematicsForeign LanguagesMusicNursingPsychologySociology and Social WorkUndecided

Church Information

Name of church you attend

Where your church is located

Activities & Interests

Literary

School paper Yearbook Literary magazine Student recruiter

Communication and theater

Radio Broadcasting Extemporaneous Speaking Debate Theater TV Production and Casting Other

Religious Activities

BSU Church Ministries Other

Music (vocal)

Soprano Bass Alto Tenor

Music (instrumental)

Drum Major Flag Brass Woodwind Percussion Organ Piano Rifle

Varsity Athletics

Cross Country Tennis Volleyball Softball Football Basketball Baseball Cheerleading Soccer Other

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