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Thank you for choosing Averett University.   Please complete the following questionnaire by August 1st and submit as part of your Financial Aid process. If applicable, information on this form will be shared with the donor(s) who are providing your scholarship(s). Thank you.

*Name:       
   
(Last) required (First) required  (MI)  
        
*Student's Cell Phone: *Email:     
required 
required		  
        
*Permanent Address:      

required		      
        
  
(City)required  (ST) required (Zip) required  (Country)  (County of residence)
        
*Local Address:       

required		      
       
   
(City) required  (ST) required (Zip) required  (Country)  
        
Parents' Names:       
  
      
     
        

*Class Year:
Freshman
Sophomore
Junior
Senior
Adult Professional

        
*Major:   Minor:    
Please select an item.
        
*Why did you choose to attend Averett?required     
  
        
What do you enjoy most about Averett?  
        
Clubs/Organizations:  
        
Honors/Recognitions:  
  
        
Hobbies/Interests:  
        
Future Plans:  
        
*Name of your hometown newspaper:  
required
        
Please type AVERETT in the box.
        
  

 

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