First Name:
Middle Name:
Last Name:
Mailing  address:
Phone number:
E-mail address:

Please check one:
My plans have changed and I will NOT attend Elon.
I am a transfer or readmitted student and plan to attend Elon.
I am a first-year student and enrolling at Elon in the spring semester.

Please consider and complete the following carefully. The information will be used to advise you on course selection for fall semester courses. (Leave blank what is not applicable.)

A.	I intend to expore majors; my major is undetermined at present time.
B.	Currently, I intend to major in
C.	My second major, if applicable, is
D.	I will pursue a minor in

If you are currently enrolled in college coursework, please list the courses that you are currently taking.
 

Additional comments or questions: