Experience Judson

*denotes a required field

Personal Information

First Name

Middle Name

Last Name

Birthdate

Church of Membership

What is your gender (for lodging purposes)?

Male

Female

I grant permission for Judson College to take my photo during Experience Judson and use it in promotional material if desired.

Yes

Contact Information

Email Address

Mobile Phone Number

By checking YES, I authorize Judson College to send text messages pertaining to my admissions and student record and assume responsibility for all rates which may be incurred through my provider. By checking NO, I choose to opt out of all texting communication (should you desire to opt back in you may do so at any time).

By checking YES, I authorize Judson College to share personal, academic, and Experience Judson registration information with my parent(s)/guardian(s).

If yes, what email address should we use to contact your parent(s)/guardian(s)?

Mailing Address

Country

Street

City

Region

Postal Code

Academic Interest

Potential Enrollment Term

What program of study are you interested in at Judson?

Advanced

Graduate

Undergraduate

What degree are you interested in at Judson?

What area of study are you interested in at Judson?

What makes you interested in this area of study?

Emergency Contact Information

Name of Emergency Contact

Emergency Contact Email Address

Emergency Contact Phone Number

Registration Information

Will you have any guests attending with you?

Yes

How many guests will be joining you?

Please list the names of guests (please include relationship and ages of any children).

Will you and your guests need free overnight lodging for a maximum of two nights? (Must have 48 hour notice)

Yes

Which nights will lodging be needed?

Do you or your guests have any special accommodation requests?

None

Dietary

Mobility

Other

If other, please explain.

Please describe the mobility accommodation needs.

Please describe the dietary accommodations needed.

How did you hear about Judson College?

How did you hear about Experience Judson?

Please list their name

Do you plan to stay for dinner, which will include time with professors and an address by Dr. Pace, president of Southeastern?

Yes

Please list the names of any parents or guests attending Experience Judson with you who are alumni of Judson College or Southeastern Seminary.

Payment Information

Have you ever been on a campus tour at Judson?

Yes

Have you already been accepted to Judson?

Yes

Fee Waiver

Preview Registration

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Experience Judson

WHERE IS GOD CALLING YOU?