Request for Information

Bethel University

Please complete this form and an Admission Counselor will be in touch with you.

Personal Information

First Name

Middle Name

Last Name

Birthdate
*requested/required for data consistency purposes*

Contact Information

Student Email Address

Student Cell Phone

Does Bethel University have permission to occasionally text you?

Yes

Parent First Name

Parent Last Name

Parent Relationship

Parent Email Address

Student Mailing Address

Country

Street

City

Region

Postal Code

Student Information

Are you an international student who will be applying for an F1 Student Visa, or are you currently on a Visa that allows you to study in the USA?

What type of student will you be?

Select one:
Traditional = Daytime, on campus classes
Adult - Nontraditional = Evening campus and/or online classes

Select one:
First-Time Freshman = When you go to college, it will be the first time
Transfer = Has attended college post high school

What high school do/did you attend?

When do/did you graduate high school?

What school did you attend for your bachelor's degree?

When did you complete your Bachelor's degree?

What are you primarily interested in studying?

When do you intend to enroll?

What would you like to know more about/questions do you have?