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Student Contact Information

When do you plan to enter college?

Will you be a first time or transfer student?

First Name

Last Name

Preferred First Name

Email Address

Student Cell Phone

Birthdate

Is it okay for an admissions representative to contact you via text message?

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Primary Citizenship

Academic Information

Current School Name

Cumulative GPA (4.0 scale)

Academic Interest 1

Academic Interest 2

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