New Student Advisor Assignment Form

Name*
First Middle Last
Preferred Name
Gender Pronoun*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Email*
Birthday*
Date Format: MM slash DD slash YYYY
Degree Program*
In two sentences can you say what you hope to do in the future?*
Do you anticipate being low residence (working from afar) or high residence (working at the school)? If low, what time zone are you in?*
Do you have a religious/spiritual affiliation?*
Please list outside interests, vocations or passions that seem relevant to your school experience.*
How do you best learn?*
What growing edges would you want your advisor to know? (a sentence or two)*
What strengths would you want your advisor to know? (a sentence or two)*