Request information about JBU's Community Partnerships

Who is submitting this form?

Student Information

First Name

Last Name

Email Address

Mobile Phone Number

What kind of degree are you interested in pursuing?

Do you plan to study online or on campus in Siloam Springs, AR?

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What academic program are you interested in?

What MBA concentration are you interested in?

What semester do you plan to start college?

Are you a first-time college student or a transfer student?

Parent Information

Parent First Name

Parent Last Name

Relationship to Student

Parent Email Address

Which Community Partner are you associated with?

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*hidden* Comprehensive SMS + Call Opt In = Yes (triggers form submission terms)