Junior Survey

Name: *

Address: *

City / State / Zip: *

We like to call you when we have important information to share with you such as event dates, scholarship info, and deadlines. It is very important that we have a correct phone number for you!

Cell number:

Home phone number:

Tell us more about yourself!

I attend the following high school: *

My high school is located in (city / state): *

My favorite course in high school is : *

My least favorite course in high school is: *

In college, I think I would like to participate in (check all that apply):

	Yes	No
Instrumental music groups
Pep band
Choral groups
Theater
Religious organizations
Service work/organizations
Intramural sports
The Outdoor Adventure Club
Study Abroad
Student Government
The Yearbook
The school newspaper
The school literary publication
WLRZ, the campus radio station
Fraternities and Sororities
Dance Company
NC Student Legislature
National Model United Nations
Ultimate Frisbee
Bears of Distinction (tour guides/student hosts for Admissions and Alumni)
Baseball (NCAA)
Men’s Basketball (NCAA)
Men’s Cross Country (NCAA)
Football (NCAA)
Men’s Golf (NCAA)
Men’s Lacrosse (NCAA)
Men’s Soccer (NCAA)
Men’s Swimming (NCAA)
Men’s Tennis (NCAA)
Men’s Track and Field (NCAA)
Men’s Cheerleading (NCAA)
Women’s Basketball (NCAA)
Women’s Cheerleading (NCAA)
Women’s Cross Country (NCAA)
Women’s Golf (NCAA)
Women’s Lacrosse (NCAA)
Women’s Soccer (NCAA)
Softball (NCAA)
Women’s Swimming (NCAA)
Women’s Tennis (NCAA)
Women’s Track and Field (NCAA)
Volleyball (NCAA)

Other:

My intended field of study in college is: *

I have visited Lenoir-Rhyne: *

Yes

No

So far, I am proudest of this accomplishment: :

Admissions