Name: firstm.i.last      Gender: Male Female Address:   City:     State:    Zip:  Country:  Day Phone:  ( ) - Evening Phone:  ( ) - Email:  Preferred Contact Method:  Day Phone Number Evening Phone Number E-mail Standard Mail Planned Enrollment:  Year:  2005 2006 2007      Semester:  Fall Winter Spring Program(s) of Interest:   Bachelor Degrees: Bachelor of Science in Business (BSB) Master Degrees: Master of Business Administration (MBA) Master of Arts in Management (MAM) Master of Arts in Information Technology (MSIT)   Undecided Class Location: Uncertain Burbank Ontario Orange County Redlands Riverside San Diego County Temecula Torrance/South Bay Target Start Date: Within 60 days Between 60 days and 6 months Between 6 months and 1 year Over 1 year   Do you plan on requesting financial aid? Yes   No   How did you hear about us? Redlands Web Site Newspaper or Magazine Ad Phone Book Radio Station Television Movie Theatre Redlands Student or Alumni Direct Mail Workplace School District College Counselor Search Engine I am a Redlands Alumnus Other   If you have previously enrolled at U of R, please name the program: Comments: