Prospective Form

Prospective Student

Required fields are indicated in bold.
  

Are you interested in visiting Baker College? If so, see our Schedule a Visit section.

To which department may we send your message?
 

First Name: Last Name:
Campus of Interest:    
Address:    
City:    
State/Province/
Region:
Zip/Postal Code:
Country:    
Daytime Phone:
(555-555-5555)

Evening Phone:
(555-555-5555)

Baker College has my permission to text me at this number. Baker College has my permission to text me at this number.
E-mail Address: Verify E-mail Address
High School: Graduation Year:
       
Area(s) of Interest:
You may select multiple areas by holding down the Control key (Ctrl).
        
Message:

 
I would like you to send me information about Baker College.
 

Baker College uses information entered on this form for contact purposes only. We do not sell or rent your contact information to third parties.

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