UNDERGRADUATE INQUIRY FORM

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Name*

Academy/High School*

Mailing Address *

Phone*

Email Address*

Date of birth *

When do you plan to begin your studies?

Summer (SmartStart)

Fall (Aug-Dec)

Winter (Jan-May)

Which Year?* Please Select 2019 2020 2021 2022 2023 2024

Which program(s) are you interested in?* BBA Accounting BBA Computer Information Systems BBA Finance BBA Management BBA Marketing BS Business Administration BS Long Term Care Administration BS Nonprofit Management BS Business Administration and Public Relations BT Auto Service Management BT Construction Administration AS Accounting AS Business Administration AS Personal Selling AT Auto Service AT Construction Management

Do you have a relative that attends/attended Southern?

Yes

No

If yes, Who?

How did you hear about southern?

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