STUDENT NOTES ON-LINE APPLICATION

Name	email
School Phone	Cell Phone
SS #	GPA
Major	Status: 1st year, 2nd year, etc...

 

Permanent Home Mailing Address

Street	City
State	Zip

 

Important! List your entire class schedule.

#1	Class:	Professor:	Day/Time:	Call #:
#2	Class:	Professor:	Day/Time:	Call #:
#3	Class:	Professor:	Day/Time:	Call #:
#4	Class:	Professor:	Day/Time:	Call #:
#5	Class:	Professor:	Day/Time:	Call #:
#6	Class:	Professor:	Day/Time:	Call #:

What Semester are you applying for?

Is there anything you would like to add?

 

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