2019 Genesis Registration Form
Personal Information
Student's First Name: *
Your answer
Student's Last Name: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Phone: *
Your answer
Email Address: *
Your answer
George Fox Student ID: *
Your answer
Is English your native language or the primary language spoken in your home? *
If no, what is your native language or the primary language spoken at home?
Your answer
Have you chosen a major? *
What would you like to major in? *
This determines which academic advisor you will be scheduled to meet with at Genesis. If you have questions about choosing a major please contact your admissions counselor.
Do you intend to double major? *
Most students do not double major and only select one major their first year at George Fox.
Your intended double major (if you selected yes above and choose to declare two majors your first year)
Number of guests (excluding yourself) *
There is a guest fee of $10 per guest (payable at check-in of the event via cash, check, or credit card)
Your answer
Genesis Date
Select a Genesis Date *
Any other information you'd like us to know? *
Your answer
Thank You for Registering for Genesis!
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