STARTALK 2019 Summer Language Program at Hunter College Application Form
Last Name *
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First Name *
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Chinese Name
(If applicable)
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Do you have a social security number *
Date of Birth (Month/Date/Year) *
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Sex *
Required
Permanent Address *
(Please include city, state, and zip code)
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Telephone Number (Day) *
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Telephone Number (Eve) *
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Email Address *
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Name of Your School *
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Grade Level *
(Spring 2019)
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GPA *
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SAT/PSAT score
(If applicable)
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U.S. Citizen? *
NY State Resident *
Parent/Guardian Name (A) *
Your answer
Relation to Applicant *
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Telephone Number *
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Email Address
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Parent/Guardian Name (B)
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Relation to Applicant
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Telephone Number
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Email Address
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Person to Contact in Case of Emergency (A) *
(Other than parents)
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Relation to the Applicant *
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Telephone Number *
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Person to Contact in Case of Emergency (B) *
(Other than parents)
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Relation to the Applicant *
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Telephone Number *
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Applicant Signature *
(Please type name)
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Date *
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Parent/Guardian Signature *
(Please type name)
Your answer
Date *
Your answer
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