Traditional Undergraduate Request for Information

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Personal Information

Title:

* First Name:

Middle Name:

* Last Name:

Preferred Name:

* Birthdate:

Please select your sex: *

Female

Male

Contact Information

* Mailing Address

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Street
City
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Mobile Phone

* Phone Number:

* Email Address:

Academic Information

* High School Graduation Year:

High School/College Most Recently Attended

* When would you like to start?

Asbury Academy is a dual enrollment program for high school juniors and seniors. This program provides opportunities for high school juniors and seniors to take general education requirements at the University level (100- and 200-level courses), enabling them to complete high school and earn University credit through dual enrollment. Academy students who take 12 hours of dual enrollment credit and earn a 3.0 cumulative GPA in those classes are awarded a $1,500 Academy Scholars scholarship, equaling $6,000 over the course of their four-year degree.

Would you like more information about the Asbury Academy Program?

Yes

Have you participated in the Kentucky Governor's School for the Arts of the Governor's Scholars Program?

Scholar Program

School for the Arts

School for Entrepeneurs

Have you been recognized as a National Merit Semi-Finalist or Finalist?

Competitor

Semi-Finalist

Finalist

Interest

* I am interested in the following academic area:

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Church name:

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How did you hear about Asbury?: *

When you submit this form, Asbury University collects the information you provided. View our data privacy policy here.