Northwest Christian University
Undergraduate  
Adult Degree  
Graduate  

EXCITE - Early Registration Form

New traditional undergraduate students are encouraged to join us for Excite Early Registration to get a jump start on fall registration. Please sign up online or contact the Admissions Office at 541-684-7201 for more information.

Your Name:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Email:
Gender:
T-Shirt Size:


Will additional family be coming with you?
Who is joining you?  
   
High School/College most recently attended:
 
Possible Major:
Dietary Restrictions/Notes:
(Freshmen) Please indicate the programs you have attempted for prior college credit.



 
     
Emergency Contact Information
Name:
Relation:
Home Phone:
Cell Phone: