Tell Us About You

Interested in finding out more about Manchester College? Tell us about yourself, so that we may get to know you.

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First name*
Middle name
Last name*
Street*
City*
State*
Zip code*
Are you a U.S. citizen?	Yes No
Country
Phone
Cell phone
E-mail address
Academic interest*
Athletic area of interest
Other interests (check all that apply)
Music	Choir
	Concert band
	Symphony
	Jazz ensemble
	Pep band

Theatre	Acting
	Technical

Study Abroad	I am interested in overseas study opportunities.

ACT
SAT
GPA
Gender*	Male Female
Term of entry*
I am a*

Manchester College | 604 E. College Ave. | North Manchester, Indiana 46962
800-852-3648 | admitinfo@manchester.edu