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*First name:

*Last name:

*Email address:

Parent/Guardian email address:

*Home phone:

Home phone preferred method of contact

*Cell phone:

Cell phone preferred method of contact

It’s okay to text me

*Date of birth:

*I plan to apply for:

Address

*Country:

*Address:

*City:

*State:

*Postal/Zip code:

Campus of interest:

Campus of interest 2:

Demographics

*Citizenship:

I am a U.S. citizen, permanent resident of the U.S., refugee, or asylee.

I hold a foreign visa.

Country of Citizenship:

Are you Hispanic or Latino?

Yes

What is your race? Select one or more:

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

High school

High School

Home schooled, GED or other

Is your high school located in the same state as your home address above?

Country:

State:

Search for your high school:

Can't find your school?

High school name:

*Graduation year:

Academics

High school GPA:

ACT composite score:

SAT composite score (Critical Reading + Math OR Evidence-Based Reading and Writing + Math):

*Major interest #1:

Major interest #2: