Galilee Baptist Church Shreveport - Prospective Senior Registration Form

Senior's First Name

Senior's Last Name

Birthdate

School Name

Grade

Phone Number

Email

Parents First Name

Parents Last Name

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Email

Tell us about yourself?

Tell us about what you like to do outside of school.

What information are you interested in for college?

What do you hope to study in college, and why?

Tell us about a challenge you’ve had to overcome in high school.

What are your biggest strengths?

What are your biggest weaknesses?

Describe yourself with three adjectives.

Where do you see yourself in ten years?

What are your goals for college?

Do you have any questions?