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Student Information
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Email address *
Primary Email Address *
Enter an email address that is checked daily as this is where all information will be sent regarding acceptance and follow-up.
Student Name *
Enter as: Last Name, First Name MI.
Student ID Number *
This is the 11-digit identification number that is found on your report card.
Street Address *
City, State Zip Code *
Parent/Guardian 1 *
Relationship to Student of Parent/Guardian 1 *
Parent/Guardian 1 Phone Number *
Example: 000-000-0000
Parent/Guardian 2 *
Relationship to Student of Parent/Guardian 2 *
Parent/Guardian 2 Phone Number *
Example: 000-000-0000
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