Barton College

TRANSFER 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:

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:

What is the highest level of education completed by any of your parents/guardians?


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 Track and Field Volleyball	Women's Sports Basketball Cross Country Golf Soccer Softball Tennis Track and Field 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 the Lee Student Health Center at 252-399-6587 or healthcenter@barton.edu for more information.