START Registration
Please complete the requested information below.
Fields with a red
*
are required.
Personal Information
*
First Name:
*
Last Name:
*
Name Tag:
(your first name as it should appear)
*
Gender:
Male
Female
Contact Information
*
Address:
*
City:
*
State:
*
Zip:
*
Home Phone:
(with area code, without punctuation)
Cell Phone:
(with area code, without punctuation)
*
E-Mail:
Academic
Information
Major:
--Select a major--
Accounting
Accounting/Information Systems
Actuarial Science
Art Education
Bio-Chemstry
Biology
Biology (with Education Certification)
Biomedical Science
Business Administration
Chemistry
Chemistry (with Education Certification)
Clinical Laboratory Science
Communications
Computer Science
Criminology
Doctor of Education (EdD)
Doctor of Physical Therapy
E-Marketing
Education (Elementary)
Education (Elementary/Early Childhood)
Education (Middle Level)
English
English (with Education Certification)
Environmental Science
Environmental Studies
Graphic Design (BA degree; 48 credits)
Graphic Design (BFA degree; 90 credits)
Health Care Management
Health Policy
Health Science/Physical Therapy
History
History (with Education Certification)
Information Systems
Interactive Design
Interior Design
Legal Studies
Liberal Studies
Management
Marketing
Master in Business Administration (MBA)
Master in Health Administration (MHA)
Master in Music Therapy (MMT)
Master in Occupational Therapy (MOT)
Master in Physical Therapy (MPT)
Master of Arts in Education (MAED)
Master of Arts in Rehabilitation Counseling (MARC)
Master of Science in Actuarial Science
Master of Science in Nursing; ANP specialization
Master of Science in Nursing; FNP specialization
Master of Science in Nursing; GNP specialization
Master of Science in Nursing; no specialization
Master of Science in Nursing; Nursing Education specialization
Mathematical Modeling for Business
Mathematical Science
Mathematics (with Education Certification)
Music Therapy
Nursing
Organizational Leadership
Paralegal Studies
Physical Therapy/Health Science
Pre-Art & Design
Pre-Dentistry
Pre-Engineering
Pre-Law
Pre-Med
Psych/Soc
Psychology
Rehabilitation Services
Science
Science (with Education Certification)
Sociology
Sports Management
Studio Art (BA degree; 48 credits)
Studio Art (BFA degree; 90 credits)
Undeclared
Vocal Music Education
If no major, please select Undeclared
*
ACT SCORES
or
*
SAT SCORES
Math Sub-Score:
--Select Score--
25 or lower
26 or higher
Math Score:
--Select Score--
599 or lower
600 or higher
English Sub-Score:
--Select Score--
26 or lower
27 or higher
Verbal Score:
--Select Score--
619 or lower
620 or higher
Composite Score:
Composite Score:
To be eligible for the
Bascom Honors Program
you must have 1 of the following
and
a High school GPA of 3.5:
27 or higher on ACT
1220 or higher on SAT
I'm interested in the Bascom Honors Program
I would like to meet with someone about financial aid during the START program.
I have earned Math for college credit or am currently earning Math for college credit.
College Credit Information
I have
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
college courses.
REMINDER:
Documentation for these credits must be sent directly to Maryville University before your START date.
Advanced Placement Course Information
I have/will complete
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
AP tests.
START Information
Please choose three START dates in order of preference (Cannot be the same 3):
*
First Choice:
--Select a date--
Monday, April 07, 2008 - 1:00 PM to 6:00 PM
Saturday, April 19, 2008 - 9:00 AM to 2:00 PM
Wednesday, May 07, 2008 - 1:00 PM to 6:00 PM
Saturday, May 31, 2008 - 9:00 AM to 2:00 PM
Thursday, June 12, 2008 - 2:45 PM to 7:30 PM
Thursday, June 19, 2008 - 1:00 PM to 6:00 PM
*
Second Choice:
--Select a date--
Monday, April 07, 2008 - 1:00 PM to 6:00 PM
Saturday, April 19, 2008 - 9:00 AM to 2:00 PM
Wednesday, May 07, 2008 - 1:00 PM to 6:00 PM
Saturday, May 31, 2008 - 9:00 AM to 2:00 PM
Thursday, June 12, 2008 - 2:45 PM to 7:30 PM
Thursday, June 19, 2008 - 1:00 PM to 6:00 PM
*
Third Choice:
--Select a date--
Monday, April 07, 2008 - 1:00 PM to 6:00 PM
Saturday, April 19, 2008 - 9:00 AM to 2:00 PM
Wednesday, May 07, 2008 - 1:00 PM to 6:00 PM
Saturday, May 31, 2008 - 9:00 AM to 2:00 PM
Thursday, June 12, 2008 - 2:45 PM to 7:30 PM
Thursday, June 19, 2008 - 1:00 PM to 6:00 PM
(Limited space is available for each session)
Guest Information
I am bringing
0
1
2
3
guests.
Name (first/last):
Name (first/last):