SBU Information Request Form

Information Request Form

*Required Field
	I am a parent of a prospective student
	I am a prospective student
Student Information
*First Name
*Middle Initial
*Last Name
*Address 1
Address 2
*City
*State		*Zip Code
*Phone Number
*Email Address


*Name of High School
*City		*State
*Year of Graduation (expected date if not yet graduated)
Grade Point Average
ACT/SAT score
Class Rank	Top 5%
	Top 10%
	Top 50%
	Other

Church Name
City		State

*	Freshman
	Transfer Student
	Non-degree seeking student

Major area of study
Other Comments or Request
	I have applied to SBU
	I have not applied to SBU