Please fill out this form completely and honestly. Note: Appalachian State is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees based on race, national origin, religion, age, or handicap.

* First name (legal)

First name (nickname or short)

Middle Name

* Last Name

* ASU Box

* Local Phone#

* Email

* #ASU Credit Hours Earned (as of the beginning of the semester you will be going through recruitment)

* GPA (0.0 if you are a first semester freshman)

* Hometown/High School