Admissions Inquiry Card

Page 1

BUSINESS REPLY MAIL FIRST CLASS MAIL

PERMIT NO. 31

POSTAGE WILL BE PAID BY ADDRESSEE

DIRECTOR OF ADMISSIONS 301 LAKE ST DALLAS PA 18612-9984

DALLAS, PA

NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES


INFORMATION

OPTIONAL INFORMATION

Last Name

First Name

Address Number

Street

City

State/Zip

Phone

Cell

E-mail High School  Male

Graduation Year

 Female

ACADEMIC INTEREST

 Accounting  Biochemistry *  Biology *‡  Business Administration  Chemistry *‡  Clinical Lab Science  Computer Science  Diagnostic Medical Sonography  Education  Early Childhood & Special Education  Middle Level  English ‡§

 Government, Law and National Security  Health Care Management  Health Science: Exercise Science  Health Science: Medical Science  Health Science: Patient Navigation  History ‡§  Information Technology  Mass Communications & Design  Mathematics ‡

admissions.misericordia.edu • 1(866) 262-6363

Social Media Accounts

Ethnic Origin  White  Hispanic/Latino  Black/African-American  Asian  Medical & Health Humanities §  Medical Imaging  Nursing  Occupational Therapy  Philosophy §  Physical Therapy  Professional Studies  Psychology  Social Work  Speech Language Pathology

 American Indian/ Alaska Native  Native Hawaiian or Other Pacific Islander  Two or more races  Sport Management  Statistics  Undeclared * Pre-medicine, Pre-dentistry, Pre-optometry, Pre-veterinary option ‡ Secondary Education option § Pre-Law option


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