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Personal Information

Are you:*   a U.S Citizen/Permanent Resident         an International
First Name:*       M.I.:      Last Name:* 
Preferred Name:  
Birthdate:*   M/D/Y     High School Graduation Year:* 
Gender:   Male Female    Citizenship

Contact Information

Home Address
Country:    (If Outside U.S.)
Home Phone:       Cell Phone:  
Your E-mail:       Parent's E-mail: 


Academic Co-Curricular Extra-curricular

Academic Information

High School City:       High School State: 
High School Code/Name:*     / 
If you do not find the High School Name in the above list, please enter it in the High School text box below:

Transfer Students:

This section should only be completed by students
wishing to transfer from another college.
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If you do not find the College Name in the above list, please enter it in the College Name text box below:
Cumulative GPA Of:    ON   Scale