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We'd like to learn more about you and give you the chance to know us better. By filling out this questionnaire you will receive more information about Rockford College and financial aid. You also have the option of setting up a campus visit. Please fill out the following questions and we'll contact you soon. We look forward to hearing from you.
(Items in purple are required fields.)

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First Name:	* Required
Last Name:	* Required
Address:	*Required
City, State, ZIP:	,
E-mail:	* Required
Phone:	* Required
Anticipated Enrollment Semester/Year
All High School / Colleges Attended:
GPA:
SAT:
ACT:
Gender:
Intended Major/Area of Study:	First Choice:
	Second Choice:
	Third Choice:

Athletic Interests (check any/all that apply) (click on sport name to print an athletic questionnaire)		Which of the following co-curricular activities interest you?
Women's Basketball:		Student Government:
Women's Cross Country:		Volunteer Service Corps:
Women's Soccer:		Multicultural Club:
Women's Tennis:		Student Newspaper:
Women's Softball:		Literary Magazine:
Women's Track:		Other(please list):
Women's Volleyball:
Men's Baseball:
Men's Basketball:
Men's Cross Country:
Men's Football:
Men's Golf:
Men's Soccer:
Men's Tennis:
Men's Track:

How important is the opportunity to live on your college campus?

Very Important:
Somewhat Important:
Not important:

Please rate your importance of financial aid:

Very Important:
Somewhat Important:
Not important:

Would you like to arrange a visit to Rockford College?

Additional Comments/Questions.