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College of Professional Advancement - Request for Information
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Thank you for your interest in Mercer University. Please answer the questions on this page to allow us to better communicate with you and provide you with information. For efficient processing, please fill out as much information as possible. An asterisk (*) denotes a required field.
Basic Information
First Name*
Middle Name
Last Name*
Date of Birth*
Date of Birth*
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Contact Information
E-mail Address*
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Mailing Address*
Mailing Address*
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Email
Phone
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What is your preferred time of contact?
8am-12pm
12pm-4pm
4pm-8pm
Enrollment Information
Level of Study:*
Undergraduate
Graduate
Academic Interest*
Change Leadership - Organizational Leadership, B.S.
Communication, B.A.
Community/Civic Engagement - Organizational Leadership, B.S.
Criminal Justice Leadership, B.S.
Digital Media Communication - Communication, B.A.
Family Services - Human Services, B.S.
Gerontology Services - Human Services, B.S.
Global Communication - Organizational Leadership, B.S.
Health Informatics, B.S.
Healthcare Leadership, B.S.
History - Liberal Studies, B.A.
Homeland Security and Emergency Management, B.S.
Human Resources Administration and Talent Development, B.S.
Human Services, B.S.
Information Technology and Informatics, B.S.
Liberal Studies, B.A.
Literature - Liberal Studies, B.A.
Mental Health Services - Human Services, B.S.
Organizational Communication - Communication, B.A.
Organizational Leadership, B.S.
Pre-ABSN, Non-Degree Program
Pre-Law Studies - Liberal Studies, B.A.
Pre-Nursing, Non-Degree Program
Pre-Pharmacy, Non-Degree Program
Psychology, B.S.
Public Relations - Communication, B.A.
Religious Studies - Liberal Studies, B.A.
Self-Designed Major - Liberal Studies, B.A.
Social Services - Human Services, B.S.
Software Application Development and Human-Computer Interaction, B.S.
Substance Abuse Services - Human Services, B.S.
Women in Leadership - Organizational Leadership, B.S.
Writing - Liberal Studies, B.A.
Non-Degree Undergraduate
Transient Undergraduate
Undecided
Location of Interest:*
Online
Atlanta
Douglas County (Lithia Springs)
Henry County (McDonough)
Macon
Anticipated Term of Entry:*
Spring 2020 Session I (January)
Spring 2020 Session II (March)
Summer 2020 (May)
Fall 2020 Session I (August)
Fall 2020 Session II (October)
Spring 2021 Session I (January)
Spring 2021 Session II (March)
Summer 2021 (May)
Fall 2021 Session I (August)
Fall 2021 Session II (October)
Spring 2022 Session I (January)
Spring 2022 Session II (March)
Summer 2022 (May)
Fall 2022 Session I (August)
Fall 2022 Session II (October)
Spring 2023 Session I (January)
Spring 2023 Session II (March)
Summer 2023 (May)
Fall 2023 Session I (August)
Fall 2023 Session II (October)
Spring 2024 Session I (January)
Spring 2024 Session II (March)
Summer 2024 (May)
Fall 2024 Session I (August)
Fall 2024 Session II (October)
Academic Interest*
Applied Data Intelligence and Machine Learning, M.S.
Child and Adolescent Services - Human Services, M.S.
Clinical Mental Health Counseling, M.S.
Clinical Mental Health Counseling, M.S. (Non-Degree)
Clinical Mental Health Counseling, M.S./Master of Divinity (Combined Degree)
Clinical Mental Health Counseling, M.S./Master of Theological Studies (Combined Degree)
Clinical Rehabilitation Counseling, M.S.
Clinical Rehabilitation Counseling, M.S. (Non-Degree)
Counselor Education and Supervision, Ph.D.
Criminal Justice and Public Safety Leadership, M.S.
Gerontology Services - Human Services, M.S.
Health Informatics Certificate
Health Informatics, M.S.
Health Informatics, M.S./Doctor of Pharmacy (Combined Degree)
Healthcare Leadership - Organizational Leadership, M.S.
Human Services Administration, M.S.
Nonprofit Leadership - Organizational Leadership, M.S.
Organizational Development - Organizational Leadership, M.S.
Organizational Leadership, M.S./Master of Arts in Christian Ministry (Combined Degree)
Organizational Leadership, M.S./Master of Divinity (Combined Degree)
School Counseling, M.S.
School Counseling, M.S. (Non-Degree)
Substance Abuse Counseling Certificate
Undecided
Location of Interest:*
Atlanta
Henry County (McDonough)
Macon
Online
Anticipated Term of Entry:*
Spring 2020 (January)
Spring 2020 Session I (January)
Spring 2020 Session II (March)
Summer 2020 (May)
Fall 2020 (August)
Fall 2020 Session I (August)
Fall 2020 Session II (October)
Spring 2021 (January)
Spring 2021 Session I (January)
Spring 2021 Session II (March)
Summer 2021 (May)
Fall 2021 (August)
Fall 2021 Session I (August)
Fall 2021 Session II (October)
Spring 2022 (January)
Spring 2022 Session I (January)
Spring 2022 Session II (March)
Summer 2022 (May)
Fall 2022 (August)
Fall 2022 Session I (August)
Fall 2022 Session II (October)
Spring 2023 (January)
Spring 2023 Session I (January)
Spring 2023 Session II (March)
Summer 2023 (May)
Fall 2023 (August)
Fall 2023 Session I (August)
Fall 2023 Session II (October)
Spring 2024 (January)
Spring 2024 Session I (January)
Spring 2024 Session II (March)
Summer 2024 (May)
Fall 2024 (August)
Fall 2024 Session I (August)
Fall 2024 Session II (October)
Questions/Comments:
Lead Status
Applicant (CNexus)
Attended Individual Meeting
Attended Information Session
Awaiting PSC Eligibility
Campaign Opt-Out
Closed Incomplete Application (CNexus)
Closed Inq_Pros Attends Other Institution
Closed Inq_Pros DNC List
Closed Inq_Pros No Contact Info
Closed Inq_Pros Non-Responsive
Closed Inq_Pros Not Interested
Closed Inq_Pros Not Qualified
Closed Inq_Pros Other
Closed Inq_Pros Program Not Offered
Closed Inq_Pros Relocated
Contacted 1 No Response
Contacted 2 No Response
Contacted 3 No Response
Contacted Inquiry
E-mail 1 No Response
E-mail 2 No Response
E-mail 3 No Response
Inquiry
New Inquiry
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No-show Non-responsive
Prospect Final Stage
Prospect Final Stage Non-responsive
Scheduled for Individual Meeting
Scheduled for Information Session
Shopper
Shopper-Non-responsive
Working Prospect
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1501 Mercer University Drive
Macon, GA 31207
3001 Mercer University Drive
Atlanta, GA 30341
1250 East 66th Street
Savannah, GA 31404
Columbus
Douglas County
Henry County
Warner Robins
1-800-MERCER-U
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