Matriculate

*First Name

Middle Name

*Last Name

Preferred First Name (if different)

Suffix

*Birthdate

Contact Information

*Email Address

*Home/Permanent Address

Country

Street

City

Region

Postal Code

Is your mailing address different than your home address?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Preferred Phone Number

Would you like to opt-in to receiving texts from the Bates College Office of Admission?

Yes

No

Mobile Phone Number

*May we send information to your parent(s)/legal guardian?

Yes

No

Parent/Guardian 1 Name

Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Email

Academic Information

*Type of Applicant

First Year

Transfer

In which term do you plan on entering?

*School Name

School CEEB Code

Academic Interests

Co-curricular Interests

Background Information

Sex as listed on your birth certificate

Female

Male

X

Hispanic

Yes

No

Race (optional - can check multiple boxes as applicable)

Will you be a first generation college student? (Yes means neither parent has a four-year degree.)

Yes

No

Legacy

Yes

No

Primary Citizenship

Dual Citizenship

Interaction

Code
Subcode
Instance
Status
Date
Comments

Yes

No

Connect

Connect

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