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All other students, please fill out the form below to receive information about Messiah College.

Personal Information

First Name:
Last Name:
Address:

City:
State:
Zip Code:
Phone Number:
Email Address :
High School:
Graduation Year:
When do you plan to enter college?
Average Grades:
SAT/ACT: (Critical Reading & Math sections only) (Max. 1600)


Academic Interests

Hold Down The Control Key To Select Multiple Programs



Extracurricular Interests

Which of the following are you interested in participating in during college:

Student Government
Music
Theatre
Study Abroad
Internships
Varsity Athletics
Service/Ministries
Honors Programs
Student Clubs
Yearbook/Newspaper/Radio


If interested in Varsity Athletics, please specify which sports:

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