Residential College Application

Contact Information
Name
FirstLast
Gender
- Male
- Female
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone
Email*
Enter EmailConfirm Email
Academic Year
High School Graduation Date
Anticipated Major
Roommate Preference
The Residential College residence hall rooms are double occupancy. If you have a roommate preference, indicate that person's name. Your roommate must also be chosen to participate in the Residential College program.
Preferred roommate name
Tell Us About Yourself
What are your interests and hobbies?
What are your career/life goals?
Please list your awards and activities, leadership experiences, volunteer activities, and community service completed during high school.

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Last Modified: August 9, 2010 at 5:44 pm

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100 E. University, Magnolia, Arkansas 71753-5000 Telephone: (870) 235-4000