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Use this form to request more information. When you are finished, click "Submit Request" at the bottom of the page.

Information provided on this form will be used only by George Fox University and will not be given to any other organizations.

All fields with an asterisk (*) must be completed to process your request.

* First Name:
* Last Name:
Gender: Male    Female

Mailing Address
* Address:
* City, State, Zip:
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Primary Phone:
* E-Mail:

Academic Status
* I am a:
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Program of Study (Minors and Concentration Areas not Included)
Major Interest 1:
 Major Interest 2:

Extracurricular Interests
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To select more than one, hold down the Control key (Windows) or Command key (Macintosh) as you make your selections.

Optional Background Information
Birthdate:
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In choosing a college/university, George Fox University is my:
first choice
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one of many colleges/universities I am considering.
Other college/universities to which I am applying:
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