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T-SHIRT SIZE
CONSIDERING
CONVINCED
APPLICATION FOR ADMISSION
Fall 20 Spring 20
Please check specifics that apply:
Florida New York
Ontario, Canada Sherbrooke, Canada
South Korea Uganda
Hungary Brazil
GENERAL ADMISSION 1.) Full Name:
Date of Birth:
/ /
MM
DD
YYYY
LAST
FIRST
MIDDLE INITIAL
Preferred Name:
SSN:
OPTIONAL BUT SPEEDS UP FINANCIALAID PROCESS
2.) Address: 3.) Cell Phone Number: ( ) STREET, ROAD, BOX
CITY
STATE
POSTAL CODE
COUNTRY
Home Phone Number: ( )
Email Address: 4.) Country of Citizenship: Canada U.S. Other: If Other, Country of Birth: Residency: Landed Immigrant of Canada Permanent Resident of the U.S. Neither 5.) Gender: Male Female Ethnicity: African-American Asian Caucasian Hispanic Native American Other: Marital Status: Single Engaged Married Widowed Separated Divorced Name of Fiancé/Fiancée or Spouse: If Married, Names and Ages of Children: Primary Language: English Spanish French Other (please list) : 6.) Expected Graduation Year:
The information I have provided is truthful to the best of my ability, and I understand there is additional paperwork to complete the application process for acceptance. Yes/I understand. Signature :
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