REQUEST FOR INFORMATION
 
 
Preferred Name:
Last Name:
First Name:
Middle Name:
 
Address:
City:
State:
Country
Zip:
Phone:
Email:
REQUIRED



How did you learn about Barton?
Newspaper Web Site
Radio TV
Friend Billboard



How do you connect to the internet?
(Home) 56k modem (Home) Cable/DSL
(School / Library) T1/T3 Other



I am a High School:
Freshman Junior
Sophomore Senior

Name of High School:
Date of Graduation:


I am a College:
Freshman Junior
Sophomore Senior

Name of College:
Date of Graduation:



I plan to enroll at Barton: Fall    Spring         20

The major/program I am interested in is:



Please send me the following information

Open House Information Application
Viewbook Financial Aid Brochure
Directions/Accommodations Scholarship Brochure
Tuition and Fees

Other (list below)