Bethel College Request Information Form

Instructions: Please fill out the form below as completely as possible and click the "Submit Form" button to send your inquiry to us. You will receive an overview of Bethel College by regular mail at the earliest opportunity. (* indicates required field)

General Information

Enrollment Type*:

Gender:
Male Female

Expected Term*:

Year*:

Academic interests:
Extracurricular/athletic interests:

Name

First name*:

Last name*:

Middle name:

Address

Street or P.O.Box*:
City*:	State*:	ZIP*:

Telephone/e-mail

Home phone*:

Cell phone:

E-mail*:

Academic information

High school*:	Year of graduation*:	GPA:
ACT composite:	SAT-CR:	SAT-M:

Transfer Students Only:

College/University attending/attended:

Dates Attending/Attended:

Additional information

Please describe your interest level in Bethel College:
Very interested Somewhat interested Uncertain

Would you consider visiting Bethel College?
Yes No

Do you plan on applying to Bethel College?
Yes No

How did you learn about Bethel College?*

How important are the following issues in your college search?

	Very	Somewhat	Not Important	Don't Know
Offering your major
College reputation
Extracurricular options
Cost
Scholarships and financial aid

Request Information