Request for Information

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Student First Name*

Preferred First Name

Would you like us to use your preferred name in mail sent to your home address or in messages that include your family members?*

We'll note your preferred name in your profile internally, but communications will default to using your First Name. If you wish to adjust your Preferred Name in the future, please contact us.

Student Last Name*

Student Email Address*

Academic Information

Have you taken college courses after high school graduation?

Anticipated Start Term*

Primary Academic Interest*

Current or most recent school attended:*

Current high school:*