REACH Application

Personal Information

First Name

Preferred First Name

Last Name

Permanent Address

Country

Street

City

Region

Postal Code

Email

Mobile Phone

I give permission for Bethel University to send me important updates via text messaging. (Standard message charges apply).

T-shirt Size

Gender

Birthdate

Primary Citizenship

Dual Citizenship (if applicable)

Are you a U.S. Permanent Resident?

Current Visa Type

Hispanic/Latino

Enrollment Information

Start Term

Academic History

High School Information

School Name

School CEEB (hidden)

School City

School State

Set Level of Student to High School (hidden)

GPA

Graduation Date

Relationships

Parent/Guardian #1

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Type

Parent/Guardian Email

Parent/Guardian Phone

Did this parent graduate from Bethel?

Parent/Guardian #2

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Type

Parent/Guardian Email

Parent/Guardian Phone

Did this parent graduate from Bethel?

Extracurricular Information

Are you interested in participating in any of the following? (check all that apply)

Disciplinary History

Have you ever been found responsible for a disciplinary violation at any school attended, whether related to academic or behavioral misconduct, that resulted in your probation, suspension or expulsion from the institution?

Please provide the date of each incident, explain the circumstances and reflect on what you learned

Have you ever been convicted of a felony or misdemeanor or have a pending court case? Do not respond YES if the conviction has been sealed or resulted in youthful offender status.

Please provide the date of each incident, explain the circumstances and reflect on what you learned

More Info

Please list any other schools to which you have applied, or will be applying.

Is there anything else you would like us to know about you?

If you would like to upload an unofficial copy of your transcript, you may do so now. Or you can upload it to your Application Status Portal after submission.

Signature

As a Christian community of learners, Bethel students voluntarily agree to a Community Lifestyle Covenant and Student Handbook which outline expectations of life together.

By signing below:

I certify that the information submitted in this application is complete and correct to the best of my knowledge.
I understand that the submission of false information may result in withdrawal of admission, dismissal from the university or other appropriate disciplinary action.
I authorize the university to verify the information provided with all schools I have attended and agree to notify the Admission Office if there are any changes in the information provided.
I give my school(s) permission to send my official high school transcript(s) to Bethel University.
I understand by enrolling with the University, I will agree to adhere to the Community Lifestyle Covenant and Student Handbook.

In place of your signature, please type your full legal name:

Today's Date

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