Please make selections from the following form. 
You may select as many or as few preferences as you desire.

Graduation Year
2011 2012 2013 2014 Other
         
Birth Date Gender
Date of Birth Male Female Both
   
Scores

All Selects

 A+ A A- B+ B B-
C+ C C- Less than C- GPA:
     
Type of College
1. State College/University
2. Private College/University
3. Community/Junior College		 4. Online College/University
5. Technical College
6. Trade/Vocational School		 7. All Male/AllFemale
8. Will not attend College
     
Religious Affiliations College Preferences
1. Adventist
2. African Methodist/Episc.
3. Assemblies of God
4. Baptist
5. Bible
6. Buddhist
7. Catholic
8. Church of Christ
9. Church of God
10. Disciples of Christ 		11. Episcopalian
12. Evangelical
13. Friends/Quakers
14. Hindu
15. Interdenominational
16. Jewish
17. LDS/Mormon
18. Lutheran
19. Mennonite
20. Methodist 		21. Muslim
22. Nazarene
23. Pentecostal/Charismatic
24. Presbyterian
25. Southern Baptist Conv.
26. United Church of Christ
27. Other
28. Unaffiliated
     

College Specialty Preferences
1. Agricultural College
2. Architecture
3. Arts College
4. Bible College
5. Business/Management
6. Computer/IT
7. Communications
8. Culinary College		 9. Dramatic Arts/Theater
10. Education College
11. Engineering College
12. Forestry College
13. Health Related
14. Law School
15. Liberal Arts/General Ed.
16. Mathematics/Statistics 		17. Medical School
18. Military School/Acad.
19. Music College
20. Nursing College
21. Religion/Theology
22. Sciences
23. Social Studies
24. Undecided/Other  
     
College Intended Major / Career Interest
1. Accounting/Finance
2. Advertising/Marketing
3. Agriculture
4. Animal Science
5. Animation
6. Archeology/Anthropology
7. Architecture
8. Art (Paint, Draw, Sculpt)
9. Athletics/Coaching
10. Automotive/Truck Tech
11. Aviation/Airline Indst.
12. Biological Sciences
13. Broadcasting/Radio/TV
14. Business General/Mngmt
15. Chemistry
16. Child Care/Development
17. Chiropractic
18. Christian Services/Missionary
19. Commercial Art/Design
20. Communications
21. Computer Aided Drafting
22. Computer Science
23. Cosmetology
24. Criminal Justice
25. Culinary Arts
26. Dental Field
27. Economics
28. Electronics
29. Engineering 		30. English/Writer
31. Environmental/Eco Studies
32. Fashion Design Merch.
33. Foreign Language
34. Forensic Science
35. Forestry
36. Game Design
37. Graphic Design
38. History
39. Homeland Security
40. Hotel Mngmt/Hospitality
41. Information Tech
42. Interior Design
43. International Studies
44. Internet/E-Comm Tech
45. Journalism
46. Law Enforcement
47. Lawyer/Paralegal
48. Massage Therapist
49. Math
50. Medical Field
51. Medical/Physician
52. Military Science
53. Multimedia Production
54. Music (All types)
55. Nursing/Health Care
56. Occupational Therapy
57. Oceanog./Marine Science
58. Optometry/Ophthalmology
 59. Pharmacist/Pharm Tech
60. Philosophy
61. Photography/Studio Film
62. Physical Education
63. Physical Therapy
64. Physics
65. Political Science/Gov.
66. Psychology/Psychiatry
67. Radiological Imaging
68. Real Estate
69. Religion/ Philosophy
70. Robotics
71. Science
72. Small Engine Tech
73. Social Work/Human Services
74. Sociology
75. Sports Management
76. Surgical Technician
77. Sustainability MGT/green jobs
78. Teacher/Education
79. Telecommunications
80. Theater/Dance
81. Tourism/Travel
82. Veterinary Medicine
83. Web Design
84. Wildlife Management
85. Undecided/Other
     
Sports / Activities Students Participate In
1. Academic/Honors
2. Art
3. Band
4. Baseball
5. Basketball
6. Cheerleading
7. Church Group
8. Culinary Arts
9. Dance
10. Debate
11. Diving
12. Equestrian 		13. Football
14. Golf
15. Gymnastics
16. Hockey
17. Lacrosse
18. Language
19. Leadership
20. Military/ROTC
21. Music
22. Rock Climbing/Wilderness xxxxxx Adventure
23. Scouts: Boy/Girl
24. Skiing (Cross Country/Downhill)		 25. Soccer
26. Softball
27. Student Gov.
28. Study Abroad
29. Swimming
30. Tennis
31. Theatre/Drama
32. Track
33. Volleyball
34. Volunteer Work
35. Wrestling
36. Writing
     
Ethnicity
1. American Indian/Alaskan Native
2. Asian/Asian American/Pacific Islander
3. Black or African American/Carribean
4. Latin American/S. or Central Am/Hispanic
5. Mexican or Mexican American 		6. Middle Eastern
7. Puerto Rican
8. White/Caucasian
9. Prefer not to respond
   
High School Courses
Describes the level of high school courses student currently takes.
1. College Credit Courses
2. Advanced Placement
3. International Baccalaureate		 4. Honors Classes
5. General College Prep Classes
6. Vocational/Technical
   
State Selection
National DE KY MT OH UT
AK FL LA NC OK VA
AL GA MA ND OR VT
AR HI MD NE PA WA
AZ IA ME NH RI WI
CA ID MI NJ SC WV
CO IL MN NM SD WY
CT IN MO NV TN  
DC KS MS NY TX  
           
SCF / Zip Code Selection
You may choose your area list by county, five digit zip code or zip code sectional center. Please type the first three digits of the zip code or the five digit zip code if only part of the state is desired. When choosing counties, write the state in which the county exists.
           
Contact Information
Contact Name: Contact Phone:
Contact Email: School Name:
State Of School:    

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