ORIENTATION REGISTRATION

This form is designed to register you for an Orientation Session, as well as to give your Academic Advisor as much information as possible about your academic interests. The information you provide here will be used for discussion in your advising appointment during Orientation.

NOTE: Fields in red are REQUIRED fields. The form will not be processed if any of the required fields are empty.

Student Information
First Name:
Middle Name: (Enter "n/a" if not applicable)
Last Name:
Preferred Name:
Sex: Male   Female

Cell Phone: *
* Students, your cell phone number is preferred in order to facilitate contact from the campus emergency alert system. However, if you do not use a cell phone, please submit your home phone number instead.
Email:

Orientation Information
I will attend Orientation on:
I will stay in the Residence Hall during Orientation: Yes   No
My t-shirt size is:

My family will accompany me to Orientation: Yes   No
----- My parent/guardian's name is:
----- Total number of family member's accompanying me:

Please click here for off-campus accommodations.

Academic Information
I have decided on a major: Yes   No
Please list the major(s) you have chosen or
the majors which interest you if undecided:
I am attempting or have completed college
coursework through Advanced Placement: *		 Yes   No

I am receiving credit through dual enrollment
courses or have completed college coursework
in another way: *		 Yes   No
----- If yes for either, please indicate what college
        credit you have earned: *

* To receive credit for such work, official documentation must be on file with the Barton College Office of Admissions or the Office of the Registrar.

If you are to play on an intercollegiate athletic team at Barton, please indicate which sport(s):

Men's Sports
Baseball
Basketball
Cross Country
Golf
Tennis
Soccer

Women's Sports
Basketball
Cross Country
Soccer
Softball
Tennis
Volleyball

Additional Information:
• I plan to work part-time:
• I will be living on campus: Yes   No
• I plan to request academic accommodations due to a learning disability: * Yes   No

* If yes, please contact Courtney Manning, Director of Counseling, at 252-399-6587 or cmanning@barton.edu for more information.