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APPLICATION DEADLINE -5/6/2023
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Student Information
First Name
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Last Name
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MI
Address 1
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Address 2
Phone
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Email Address
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City
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State
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Zip Code
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Race/Ethnicity
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African American
Asian
Caucasian
Hispanic
Native American
Other
What major are you considering when you attend college?
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Academic Records
High School
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City
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State
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GPA
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ACT
SAT
Please list any awards or honors that you have received.
Please list any sports, extracurricular, or community service activities you have participated in.
ESSAY TOPIC
Your Essay should be 150 or more words.
What are your goals for the next 5 years and what do you think is needed to reach those goals?
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