Request Information - Prospective Students

Other Types of Requests

You can also request information for:

Make sure we are able to accommodate your request for information! Complete all required fields (signified by an asterisk *) before you click the Submit button.

NOTE: If you are under the age of 13, please have your parent fill out this request form.

Personal Information

Title *

First Name *

Middle Name

Last Name *

Foreign addresses please use Address lines 1, 2, and 3. Any additional information, use the Address Comments.
Country *
Address 1 *
Address 2
Address 3
City (US Address only) *
State (US Address only) *
Zip Code (US Address only) *
Address Comments

Ethnicity (optional)

Are you a US citizen?*

Yes No

What country of citizenship?

Phone Number *

Cell Number

Birthdate (month/day/year) *

E-mail Address *

Re-enter E-mail *

High School Information

NOTE: If you are home schooled, please enter "home schooled" as your High School Name.

Year of Graduation *

Grade Average *

High School Name *

High School Country *

High School City/Province *

High School State

Church Information

Church Name *

Church Country *

Church City/Province *

Church State

Request Info

I am interested in studying

I will be entering... *

I will be entering as a...*

Freshman
Transfer

Previous School Name

Previous School City

Previous School State

I sing the following part(s)

I play the following instrument(s)


Please send me the following information:
	Campus Visit Information
	Scholarships and Financial Aid Information
	Athletic Information

	A Hardcopy Application
	Other

Comments

Track/Cross Country

Coach's name *

Coach's phone number *

Coach's e-mail

Height

Weight

Right or left handed

Gender *

Academic achievements/honors

Extracurricular activities

Greatest athletic achievements to date

Serious Athletic Injuries

Mileage per week

Mileage per year

# of months you train per year

Best/Avg Perf: 100

Best/Avg Perf: 200

Best/Avg Perf: 400

Best/Avg Perf: 800

Best/Avg Perf: 1500-1600 meter

Best/Avg Perf: 3200 meter

Best/Avg Perf: 110 HH/100 H

Best/Avg Perf: 300-400 I H

Best/Avg Perf: Shot Put

Best/Avg Perf: Discus

Best/Avg Perf: Javelin

Best/Avg Perf: 3.1 mile

Best/Avg Perf: Pole Vault

Best/Avg Perf: High Jump

Best/Avg Perf: Long Jump

Best/Avg Perf: Triple Jump

Best/Avg Perf: Heptathalon

Best/Avg Perf: Decathalon

Request Information - Admissions - Cedarville University

Request Information - Prospective Students

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Admissions