request for information

i'm requesting information as a:

personal information

preferred first name

last name

email address

mobile number

mailing address

country

street

city

region

postal code

birthdate

religious preference

are you a veteran?

do you wish for a parent to receive information about lipscomb?

parent type

parent first name

parent last name

parent email address

academic information

i would be starting at lipscomb in:

are you a lipscomb legacy student? (lipscomb defines legacy students as students who have had a parent, grandparent, or sibling attend lipscomb.)

most recently attended school

high school

primary academic area of interest

interaction - web inquiry (hidden)