Want to know more about Bethany? Just fill out this form to learn more. Required fields are marked. If you like, an admissions representative will personally contact you. Let us know if you need any assistance!

Tell us a little about yourself

* First Name:
Nickname:
* Middle Initial:
* Last Name:
* Email:
* Cell Phone:
Home Phone:
* Address:
* City:
* State:
* ZIP:
* Country:
* Gender:
* Birthdate: Month: Day: Year:
What is your religious affiliation?

U.S. Department of Education Demographic Information

The U.S. Department of Education has established new guidelines for collecting and reporting aggregated ethnic and racial data. In order to respond to this request, we ask you to answer the following questions.
Do you consider yourself to be Hispanic, Latino, or of Spanish origin?
YesNo
In addition, please select one or more of the following racial categories to describe yourself.

When would you start at Bethany?

* Desired Entry Date: Year:
FallSpring
* Entering As: FreshmanTransfer
Transfer Year:

Where are you currently enrolled?

* School Name:
* Graduation Year:
GPA:
ACT/SAT: Score: ACTSAT

What are your academic interests?



What are your co-curricular interests?



Questions or comments?

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