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STUDENT INFO

Your STUDENT'S Full Name:

Your Student's Class Year: Freshman Sophomore Junior Senior Prospective Student Other

MOTHER INFO

Mother's Name:

Preferred First Name:

Email:

Street:

City:    ST:    ZIP:

Country:

Home Phone:   Cell:

College(s) Attended, Degrees Earned, Years Attended:

Mother's Employer:

Job Title:

Church:

City:    ST:

Country:

Minister:    Youth Minister:

FATHER INFO

Father's Name:

Preferred First Name:

Email:

Check if Home Address is the same as mother

Street:  

City:    ST:    ZIP:

Country:

Home Phone:   Cell:

College(s) Attended, Degrees Earned, Years Attended:

Father's Employer:

Job Title:
 

Check if Church Information is the same as mother

Church:

City:    ST:

Country:

Minister:    Youth Minister:

FAMILY INFO

Have others in your family attended Milligan College? If yes, please list below.

VOLUNTEER OPPORTUNITIES

If you would be interested in more information about how you might assist with any of the following, please check here. Someone will follow-up to provide more details. Thanks!

Assist Career Development with Career Mentoring, internships, etc.
Host/assist with regional receptions for Milligan families in your area
Call other parents to welcome them to Milligan community
Promote the college in your local area / school / church
Speak to potential donors
Recommend potential students
Other: