Name* First Last Email* Student Type*Student TypeHS FreshmanHS SophomoreHS JuniorHS SeniorEarly CollegeTransferRe-AdmitNight/WeekendOnlineGraduatex-CountryCountry*CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (the Democratic Republic of the)CongoCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands [Malvinas]Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (the Democratic People's Republic of)Korea (the Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (the former Yugoslav Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (the Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan (Province of China)TajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweAddress*City*State/Province*State*StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP/Postal Code*Phone*Phone*NC County*AlamanceAlexanderAlleghanyAnsonAsheAveryBeaufortBertieBladenBrunswickBuncombeBurkeCabarrusCaldwellCamdenCarteretCaswellCatawbaChathamCherokeeChowanClayClevelandColumbusCravenCumberlandCurrituckDareDavidsonDavieDuplinDurhamEdgecombeForsythFranklinGastonGatesGrahamGranvilleGreeneGuilfordHalifaxHarnettHaywoodHendersonHertfordHokeHydeIredellJacksonJohnstonJonesLeeLenoirLincolnMcDowellMaconMadisonMartinMecklenburgMitchellMontgomeryMooreNashNew HanoverNorthamptonOnslowOrangePamlicoPasquotankPenderPerquimansPersonPittPolkRandolphRichmondRobesonRockinghamRowanRutherfordSampsonScotlandStanlyStokesSurrySwainTransylvaniaTyrrellUnionVanceWakeWarrenWashingtonWataugaWayneWilkesWilsonYadkinYanceyProgram of Interest*Art & Design - CeramicsArt & Design - Graphic DesignArt & Design - PaintingArt & Design - PhotographyArts and MediaBiology - Cellular BiologyBiology - Environmental ScienceBiology - Health SciencesBiology - Organismal BiologyBusiness AdministrationChemistryCriminology & Criminal JusticeEducation of the Deaf & Hard of HearingElementary Education K-6EnglishExercise ScienceGerontologyHealth PromotionHealthcare AdministrationHistoryInterdisciplinary StudiesMass Communication Studies (BA)Mass Communications - Audio RecordingMass Communications - Broadcast VideoMass Communications - JournalismMass Communications - Public RelationsMathematicsMiddle School Ed 6-9 - Language ArtsMiddle School Ed 6-9 - MathematicsMiddle School Ed 6-9 - ScienceMiddle School Ed 6-9 - Social StudiesNursingPhotojournalismPolitical SciencePolitical Science - Business AdministrationPolitical Science - Pre-LawPre-DentistryPre-MedicalPre-PharmacyPre-Physical TherapyPre-VeterinaryPsychologyReligion & PhilosophySocial Studies EducationSocial WorkSpanishSpecial EducationSports ManagementTeacher Licensure - Birth-to-KindergartenTeacher Licensure - Deaf & Hard of HearingTeacher Licensure - Elementary EducationTeacher Licensure - English CompositionTeacher Licensure - Health & Physical EducationTeacher Licensure - MathematicsTeacher Licensure - Middle School EdTeacher Licensure - Social StudiesTeacher Licensure - SpanishTeacher Licensure - Special EducationTheatre - MusicalTheatre DesignTheatre ManagementTheatre PerformanceUndeclaredVisual CommunicationsProgram of Interest*Birth-to-Kindergarten EducationLateral EntryNursing - RN to BSNSocial WorkProgram of Interest*Birth-to-Kindergarten EducationLateral EntryNursing - RN to BSNProgram of Interest*Elementary Education (MEd)Nursing Education (MSN)Nursing Leadership (MSN)School Administration (MSA)Business - Strategic Leadership (MBA)Enrollment Term*2019-20202020-20212021-20222022-2023Please select three activities that interest you.Activity 1Select Activity4-H ClubAVIDCheerleadingDanceE-SportsGear UpHigh School Marching BandHOSAArt ClubAthletic TrainerPep BandBeta ClubChorusChurch ActivitiesCommunity ServiceDebateDrama ClubFencingField HockeyFootballFuture Business LeadersHonor SocietyJournalismJunior ROTCMen's BaseballMen's BasketballMen's Cross CountryMen's GolfMen's LacrosseMen's SoccerMen's Swim TeamMen's TennisMen's TrackMen's VolleyballMen's WrestlingQuiz Bowl TeamScience ClubSpanish ClubStudent GovernmentStudent NewspaperTheatreWomen's BasketballWomen's Cross CountryWomen's GolfWomen's LacrosseWomen's SoccerWomen's SoftballWomen's Swim TeamWomen's TennisWomen's TrackWomen's VolleyballWrestlingYearbook StaffPhotographyPianoVolunteeringActivity 2Select Activity4-H ClubAVIDCheerleadingDanceE-SportsGear UpHigh School Marching BandHOSAArt ClubAthletic TrainerPep BandBeta ClubChorusChurch ActivitiesCommunity ServiceDebateDrama ClubFencingField HockeyFootballFuture Business LeadersHonor SocietyJournalismJunior ROTCMen's BaseballMen's BasketballMen's Cross CountryMen's GolfMen's LacrosseMen's SoccerMen's Swim TeamMen's TennisMen's TrackMen's VolleyballMen's WrestlingQuiz Bowl TeamScience ClubSpanish ClubStudent GovernmentStudent NewspaperTheatreWomen's BasketballWomen's Cross CountryWomen's GolfWomen's LacrosseWomen's SoccerWomen's SoftballWomen's Swim TeamWomen's TennisWomen's TrackWomen's VolleyballWrestlingYearbook StaffPhotographyPianoVolunteeringActivity 3Select Activity4-H ClubAVIDCheerleadingDanceE-SportsGear UpHigh School Marching BandHOSAArt ClubAthletic TrainerPep BandBeta ClubChorusChurch ActivitiesCommunity ServiceDebateDrama ClubFencingField HockeyFootballFuture Business LeadersHonor SocietyJournalismJunior ROTCMen's BaseballMen's BasketballMen's Cross CountryMen's GolfMen's LacrosseMen's SoccerMen's Swim TeamMen's TennisMen's TrackMen's VolleyballMen's WrestlingQuiz Bowl TeamScience ClubSpanish ClubStudent GovernmentStudent NewspaperTheatreWomen's BasketballWomen's Cross CountryWomen's GolfWomen's LacrosseWomen's SoccerWomen's SoftballWomen's Swim TeamWomen's TennisWomen's TrackWomen's VolleyballWrestlingYearbook StaffPhotographyPianoVolunteeringPermission to Use Data* I understand that by submitting this form I am granting Barton College permission to process my personal data and to contact me with information relevant to the services or opportunities offered, either directly or indirectly, through Barton College. 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