Request for Information

First Name*

Preferred Name

Last Name*

Contact Info

Email Address*

Mobile Number*

Mailing Address*

Country

Street

City

Region

Postal Code

Biographical

Birthdate*

Gender*

Academic and Other

Student Type*

Freshman

Transfer

Planned Entry Term*

Homeschooled?

Search for your school* (Please begin typing your school's name and then select it from the pull down menu.)

CEEB School Code

School Name* If your home school is part of a co-op or umbrella organization, please select that group from the pull down menu. If you cannot find your home school organization, please select "Home School Clearinghouse (Internal)".

Ceeb School 2

Academic Interest (Please feel free to make as many selections as you like. To do so, hold down the "Ctrl" button while clicking on the options you have interest in.)

What church do you currently attend? (Please begin typing your church's name and then select it from the pull down menu. If your church is not listed, simply finish typing it in.)

Has a family member attended Covenant?

Yes

No