Bethany Lutheran College Inquiry Form PERSONAL INFORMATION:*-requiredFirst NameLast NameEmail AddressBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Gender:Gender:FemaleMaleCONTACT INFORMATIONHome phone:Cell Phone:Text meCountry of CitizenshipAfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius, and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos Islands (Keeling Islands)ColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCoral Sea IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFederated States of MicronesiaFijiFinlandForeign/UnknownFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambia, TheGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R.HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJerseyJordanJuan De Nova IslandKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau S.A.R.Macedonia, Republic of NorthMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle ofMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau, the Pacific Islands ofPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSpratly IslandsSri LankaSudanSurinameSvalbardSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweENROLLMENT DETAILSI will be attending as a:First Year StudentTransfer StudentTransfer Back to BLC-I was at BLC, attended college somewhere else, now I want to come back.High School Grad Year:20212022202320242025202620272028202920302031203220332034203520362037203820392040Past Years:19501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020School Name:School Ceeb:I will start at BLC in:Summer (May-Aug) 2025Fall (August) 2025Spring (January) 2026Summer (May-Aug) 2026Fall (August) 2026Spring (January) 2027Summer (May-Aug) 2027Fall (August) 2027Spring (January) 2028Summer (May-Aug) 2028Fall (August) 2028Spring (January) 2029Summer (May-Aug) 2029Fall (August) 2029Spring (January) 2030Summer (May-Aug) 2030Fall (August) 2030Spring (January) 2031Summer (May-Aug) 2031Fall (August) 2031Spring (January) 2032Summer (May-Aug) 2032Fall (August) 2032Spring (January) 2033Summer (May-Aug) 2033Fall (August) 2033Spring (January) 2034Summer (May-Aug) 2034Fall (August) 2034Spring (January) 2035Summer (May-Aug) 2035Fall (August) 2035Spring (January) 2036Summer (May-Aug) 2036Fall (August) 2036Spring (January) 2037Summer (May-Aug) 2037Fall (August) 2037Spring (January) 2038Summer (May-Aug) 2038Fall (August) 2038Spring (January) 2039Summer (May-Aug) 2039Fall (August) 2039Spring (January) 2040Summer (May-Aug) 2040Fall (August) 2040Spring (January) 2041Summer (May-Aug) 2041SEND ME INFORMATION ON:Major:AccountingAdvertisingAgri BusinessAeronauticsAnimal SciencesAnimationArcheologyArtArt AdministrationAthletic TrainingBiochemistryBiologyBiotechnologyBroadcastingBroadcasting JournalismBusiness AdministrationBusiness FinanceBusiness ManagementBusiness MarketingBusiness/EconomicsChemistryChild CareChild DevelopmentChiropractorChurch WorkCommunicationsComputer ScienceConservation-Natural ResourcesCounselingCreative WritingCriminal JusticeDental Assistant/HygieneDentistryDesignDieteticsEarly Child DevelopEcologyEconomicsEducationEducation-ChristianEducation-ELS Synod CertificationEducation-ElementaryEducation-SecondaryEngineeringEnglishEnvironmental ScienceExercise ScienceFashion MerchandisingFinanceFine ArtsForestryGeneticsGermanGraphic DesignHealthHealth CommunicationHuman BiologyHumanitiesInterdisciplinary StudiesInterior DesignJournalismLanguageLawLaw EnforcementLiberal ArtsLibrary ScienceManagementMarketingMass CommunicationsMathematicsMedia ArtsMedical TechnologyMedicineMortuary ScienceMusicMusic ChurchNatural ResourcesNursingOccupational TherapyOptometryParalegalPharmacyPhotographyPhotojournalismPhysical EducationPhysical TherapyPhysicsPhysiologyPolitical SciencePost-ProductionPsychologyPublic RelationsRecreationRecreational TherapyReligionScienceSocial WorkSpanishSpecial EducationSpeech CommunicationsSpeech TherapySports ManagementSports MedicineStudio ArtTheologyUndecidedVeterinary MedicineVideographyWeb DesignWildlife ManagementYouth MinistryZoologyAdditional Major I am interested in:AccountingAdvertisingAgri BusinessAeronauticsAnimal SciencesAnimationArcheologyArtArt AdministrationAthletic TrainingBiochemistryBiologyBiotechnologyBroadcastingBroadcasting JournalismBusiness AdministrationBusiness FinanceBusiness ManagementBusiness MarketingBusiness/EconomicsChemistryChild CareChild DevelopmentChiropractorChurch WorkCommunicationsComputer ScienceConservation-Natural ResourcesCounselingCreative WritingCriminal JusticeDental Assistant/HygieneDentistryDesignDieteticsEarly Child DevelopEcologyEconomicsEducationEducation-ChristianEducation-ELS Synod CertificationEducation-ElementaryEducation-SecondaryEngineeringEnglishEnvironmental ScienceExercise ScienceFashion MerchandisingFinanceFine ArtsForestryGeneticsGermanGraphic DesignHealthHealth CommunicationHuman BiologyHumanitiesInterdisciplinary StudiesInterior DesignJournalismLanguageLawLaw EnforcementLiberal ArtsLibrary ScienceManagementMarketingMass CommunicationsMathematicsMedia ArtsMedical TechnologyMedicineMortuary ScienceMusicMusic ChurchNatural ResourcesNursingOccupational TherapyOptometryParalegalPharmacyPhotographyPhotojournalismPhysical EducationPhysical TherapyPhysicsPhysiologyPolitical SciencePost-ProductionPsychologyPublic RelationsRecreationRecreational TherapyReligionScienceSocial WorkSpanishSpecial EducationSpeech CommunicationsSpeech TherapySports ManagementSports MedicineStudio ArtTheologyUndecidedVeterinary MedicineVideographyWeb DesignWildlife ManagementYouth MinistryZoologyGeneral Campus:General Campus:AthleticsCampus ViewbookCampus VisitFinancial AidFine ArtsScholarshipStudent LifeStudy AbroadBethany Activities:Bethany Activities:ArtBandBaseballBasketball MensBasketball WomenChamber OrchestraChoirClay TargetCross CountryDebateEsportsGolf MenGolf WomenHandbell ChoirJazz BandJournalismMock TrialOrganPianoSoccer MenSoccer WomenSoftballSpeechStudent GovernmentTelevision BroadcastTennis WomenTennis MenTrack and FieldTheatreYearbookVolleyballSubmit
