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IMPACT College Connections Form
We hope you enjoyed the presentation.
By completing this one form, you will share your information with multiple colleges in our network. We will also send you an email about scholarship opportunities. Be sure to use an email address that will allow us to contact you after high school graduation.
Best of luck in your college/career search, thank you for allowing us to be a part of your process.
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High School Name *
First Name *
Last Name *
Cell Phone *
Home Phone *
Email Address *
Street Address *
City *
Zip Code *
Grade Point Average (GPA) *
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