Personal Information
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First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Home Address *
Your answer
Date of Birth *
Your answer
Birth Place *
Your answer
Phone Number *
Your answer
Name of Parent/Guardian #1 *
Your answer
Occupation of Parent/Guardian #1 *
Your answer
Employer of Parent/Guardian #1 *
Your answer
Name of Parent/Guardian #2 *
Your answer
Occupation of Parent/Guardian #2 *
Your answer
Employer of Parent/Guardian #2 *
Your answer
With whom do you live? *
How many people in your household? *
Your answer
Number of school-aged children in your home: *
Your answer
Number of sisters/brothers attending college: *
Your answer
Where are sisters/brothers attending college? *
Your answer
What colleges/universities/vocational schools are you considering? *
Your answer
What majors or careers are you considering? *
Your answer
What academic subjects do you enjoy most? *
Your answer
What are your hobbies or special interests? *
Your answer
List five words you would use to describe yourself: *
Your answer
Are you the son or daughter of a veteran? *
Are you a US Citizen? *
Have you applied for FAFSA/Dream Act (Federal & State financial aid)? *
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