Northwest Fridays

1. First Name *
2. Middle Initial
3. Last Name *
4. Gender * Male Female
5. Address *
6. City *
7. State Select State Non-USAL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY
8. Zip Code
9. Country
10. Phone *
11. E-mail *

1. High School *
2. High School Grad. Year *
3. Transfer Credit Yes No
4. Previous College
5. Program of Interest - Select One -Accounting, BAAfrica Studies, BABiblical Literature, BABiology, BSBusiness Administration, BAChildrens Ministries, BAChina Studies, BAChristian Studies, CertificateCommunication, BAContemporary Music Industry, BFADrama, BAElementary Education, BAEnglish, BAEnvironmental Science, BAFilm Studies, BAGeneral Ministry, BAGeneral Studies, AAGeneral Studies, BAHealth Science, AAHistory, BAIntercultural Studies, BAInterdisciplinary Studies, BALatin America Studies, BALegal Studies, BALinguistics, BALiterature, BAManagement, BAMarketing, BAMathematics, BAMiddle East Studies, BAMissions, BAMusic Education, BMMusic Ministry, BAMusic, BANursing, BSOrganizational, BAPastoral Ministry, BAPolitical Science & History, BAPolitical Science, BAPsychology, BAReligion & Philosophy, BARussian Studies, BASecondary Ed, BASecondary Ed, Biology, BASecondary Ed, Choral Music, BASecondary Ed, English & Language Arts, BASecondary Ed, ESL, BASecondary Ed, General Music, BASecondary Ed, Health & Fitness, BASecondary Ed, Instrumental Music, BASecondary Ed, Math, BASecondary Ed, Social Sciences, BASecondary Ed, Theatre Arts, BAStudent TeachingTESL, BATESL, CertificateUndecidedWriting, BAYouth Ministry, BA Other:
6. Other

1. Visit Date *
   September 14, 2012
   October 12, 2012
   November 30, 2012
   January 18, 2013
   February 22, 2013
   March 22, 2013
   April 19, 2013
   
2. Additional Guests
   List their names and your relation to them (Mother, Brother, Chaperone, etc)

Two weeks notice is required for overnight stays. Two-night maximum stay. Housing, class visits and chapel are not available during holidays, spring break and summer break. Prospective students will be placed with a current student. Other guests can be placed in hospitality housing on campus for a small fee.

1. Would you like to stay overnight on campus? * Yes No
2. If yes, please provide the following information:
   Which night would you like to stay? - Month - January February March April May June July August September October November December - Day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Year - 2011 2012 2013
3. Arrival time on campus?
4. Is there a NU student with whom you'd like to stay?