Friends University - Admissions

*First Name:
*Last Name:
*Email Address:
Day Phone:
Home Phone:
Cell Phone:
*Street Address:
Street Address 2:
*City:
State:	Other:
*Zip Code:
Employer:
	# of college credit hours earned:
	College or High School currently attending (if applicable):
Age:
	On what program would you like additional information?
	Please select all other areas of interest from the list below. Fine Arts Student Government Campus Ministries Athletics
If athletics, which sport?
	Selection Location:
	Month/year you plan on attending:
	How did you hear about us?
Comments: