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The Phoenix Institute Summer Programs
2016 Application form.

If you are a new student, please fill out the 2017 pre-registration form: https://goo.gl/forms/OvO92KP6zqUHBo8D2 or else, contact Luzma Gonzalez (luzma.gonzalez@thephoenixinstitute.org)

Personal Information
Full name
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Email address
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Cellphone
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City and country of residence
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Mailing address
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Date of birth
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Country of birth
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Country (countries) of citizenship
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Sex
Education
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Are you still studying?
Level of education
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Year degree was conferred (or projected year of degree)
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Field of Study
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Institution
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Current or final GPA
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The summer programs
Which program would you like to attend?
If you were not admitted into your program of choice, would you be willing and able to go to the other program?
Is this your first year at the Phoenix Institute?
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