BUA Open House Registration

Name *

First Name Last Name

Today's Date

Date

Phone Number

- Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email *

example@example.com

Date you plan to attend BUA Open House *

School, Church or Group Name? *

How many will attend? *

Family members, friends, etc. are encouraged to attend.

High school graduation year *

(or anticipated graduation year)

When would you like to begin college? *

Ex: Spring 2019, Fall 2019

PROGRAM OF STUDY (You can choose more than one.) *

BA in Biblical/Theological Studies BA in Business Leadership BA in Human Behavior BA in Music AA in Cross-Cultural Studies

If you are considering enrolling for the Spring 2019 or Fall 2019 semester, you are eligible to apply for a one-time $500 scholarship. A scholarship will be randomly awarded at each open house to one attendee or more depending on size of group. You must meet the following criteria.

SCHOLARSHIP REQUIREMENTS

1. Must attend one of the following BUA Open House events:

Sat., Nov. 17. 2018, 10:00-11:30 a.m.
Thurs., Dec. 13, 2018, 6:00-7:30 p.m.

2. Must be a first time applicant (not a re-entry) to one of the degree programs at BUA.

3. Must enroll for a minimum of 6 semester hours in a degree program for the Spring 2019 or Fall 2019.

4. Must remain enrolled at the university past the last withdraw date.

I understand scholarship recipients will be announced at the end of the BUA Day program. Applicants must be present in order to receive the scholarship. *

Yes, I understand.

I understand scholarship is not redeemable for cash. Redemption value will not exceed $500.00 *

Yes, I understand.

CERTIFICATION AND AUTHORIZATION: I certify that I have read and understand all of the information provided to me in this document, and that to the best of my knowledge, the information contained in this application is correct and complete. I agree that Baptist University of the Américas has my permission to verify it. I understand that any false statements made herein will void this application. I agree to notify the University of any changes to this information. *

I agree I DO NOT agree

I give Baptist University of the Américas permission to contact me through email, mail or telephone. *

I agree I DO NOT agree

Applicant's Signature *

Clear