Student Information for Academic Advisor

Date Due: June 15, 2008

The information you provide here will be used both to match you with an appropriate academic advisor and to help your academic advisor get to know you better.

* Indicates a required field

Contact Information

* Net ID:
Name:	* Last	* First	Middle
Preferred Name:		Date of Birth:
Home Address:		Telephone:
City and State:		Zip Code:
* E-mail Address:		Cell:

Phone Numbers at which parents/guardians can be reached during the day:

Name of Mother/Guardian:		Name of Father/Guardian:
Phone Number:		Phone Number:

TRANSFER STUDENTS ONLY:
If you are a transfer student, please give the name of the institution(s) form which you are transferring.

ALL STUDENTSCOMPLETE THE FOLLOWING QUESTIONS:
What academic subject areas interested you most in high school?

What academic subject areas do you think you might want to pursue at the University? (A list of majors and minors is available here. Also keep in mind that most students change their major interests at least once, so it's OK if you are uncertain.)

Do you have any ideas about careers you might be interested in pursuing?

Activities/Interests

Please list a few significant awards or honors received or offices held in high school:

List your participation in high school activities (such as drama, forensics, music, publications, athletics, etc.):

What kinds of recreation or hobbies do you enjoy?

Describe participation in community activities and/or employment:

Please write a few words about yourself to help your academic advisor get to know you a little better. This need not be lengthy or formal-just an opportunity to share a little something about yourself: