Adopt A Student Application

First Name
Last Name
Spouse's Name
Address
Line 2
City
Zip
Email
Phone
Occupation
Spouse's Occupation

Are you able to provide transportation to students who do not have a vehicle? YesPrefer not to

Home City
Home State --select-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa APO Armed Forces (Canada, Europe, Middle East) Armed Forces Africa Armed Forces America Armed Forces Pacific Canada - Alberta Canada - British Columbia Canada - Manitoba Canada - New Brunswick Canada - Newfoundland Canada - Northwest Territories Canada - Nova Scotia Canada - Nunavut Canada - Ontario Canada - Prince Edward Island Canada - Quebec Canada - Saskatchewan Canada - Yukon England Federated States of Micronesia Guam Kenya Mariana Islands (Siapan) Marshall Islands Puerto Rico R.O.C. Sao Paulo St Lucia Virgin Islands West Bank (Palestine)
Spouse's Home City
Spouse's Home State --select-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa APO Armed Forces (Canada, Europe, Middle East) Armed Forces Africa Armed Forces America Armed Forces Pacific Canada - Alberta Canada - British Columbia Canada - Manitoba Canada - New Brunswick Canada - Newfoundland Canada - Northwest Territories Canada - Nova Scotia Canada - Nunavut Canada - Ontario Canada - Prince Edward Island Canada - Quebec Canada - Saskatchewan Canada - Yukon England Federated States of Micronesia Guam Kenya Mariana Islands (Siapan) Marshall Islands Puerto Rico R.O.C. Sao Paulo St Lucia Virgin Islands West Bank (Palestine)

Please select you and your spouse's college majors below. These are our current offerings - if yours isn't listed, please approximate.

Your Major --select-- None/Not Applicable Accounting Advertising and Public Relations Applied Mathematics Art Art Education Athletic Training Biblical Languages Biblical Studies Biological Chemistry Biology Biology Education Broadcasting Business Communication Business Education Chemistry Chemistry Education Child Care & Development Church Communication Church Ministries Church Music Civic Affairs Clinical Psychology Communication Studies Computer Information Systems Computer Science Counseling Psychology Criminal Justice Digital Arts Drama Early Childhood Education Educational Leadership Electronic Media Elementary Education English English Education Environmental Science Exercise Science Film Film and Photography Finance General Education General Education Government Health Care/Nursing History Human Services Intercultural Studies International Studies International/Multicultural Studies Journalism Leadership Management Management Marketing Mathematics Mathematics Education Medical Technology Middle School Education Music Music Education Music Education Music Performance Music Performance Nonprofit Business & Social Enterprise Organizational Leadership Physical Education Political Communication Pre-Engineering Pre-Nursing Professional Communication Psychology Psychology Public Administration Reading Recreation School Counseling Secondary Teaching Social Science Social Studies Education Social Work Spanish Spanish Education Teaching Theatre Theatre/Music Theatre/Speech Education Worship Leadership
Spouse's Major --select-- None/Not Applicable Accounting Advertising and Public Relations Applied Mathematics Art Art Education Athletic Training Biblical Languages Biblical Studies Biological Chemistry Biology Biology Education Broadcasting Business Communication Business Education Chemistry Chemistry Education Child Care & Development Church Communication Church Ministries Church Music Civic Affairs Clinical Psychology Communication Studies Computer Information Systems Computer Science Counseling Psychology Criminal Justice Digital Arts Drama Early Childhood Education Educational Leadership Electronic Media Elementary Education English English Education Environmental Science Exercise Science Film Film and Photography Finance General Education General Education Government Health Care/Nursing History Human Services Intercultural Studies International Studies International/Multicultural Studies Journalism Leadership Management Management Marketing Mathematics Mathematics Education Medical Technology Middle School Education Music Music Education Music Education Music Performance Music Performance Nonprofit Business & Social Enterprise Organizational Leadership Physical Education Political Communication Pre-Engineering Pre-Nursing Professional Communication Psychology Psychology Public Administration Reading Recreation School Counseling Secondary Teaching Social Science Social Studies Education Social Work Spanish Spanish Education Teaching Theatre Theatre/Music Theatre/Speech Education Worship Leadership

Church You Attend

Please list your household's members below, excluding yourself and spouse:

Tell us a little about yourself (and your family) by selecting as many categories that fit your family's interests (select at least one):

Comments/Additional information: