Date:   Date of Birth: //
 
Cell Phone:   Carrier:
Gender: 
 
Name:
   First:
 
   Middle:
 
   Last:
 
   Preferred:
 
Street Address 1:      Street Address 2:   
City:      State:      ZIP:  
Home Phone:      Email:   

High School:      HS City:      HS Grad Year:  
GPA:     ACT:     SAT:           College Entry Term:     

Missionary Kid:      Minister's Kid:      Parent Attended OBU:     
Home Church:        Church City:       

 
Intended Major:
Major 1:
Major 2:
Other Major:
 
Interested In:
Music Interest:
     
Sports Interest:
 

  Preferred First Name Last Name Email Address
Parent Contact Information #1
Parent Contact Information #2
 

I am Very Interested in Attending OBU