A2F International Registration & Interest Form
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Email *
Full Name (First, Family/Last) *
Hometown *
Birth Date *
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DD
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Phone Number *
Address (if not living on campus)
Major/Area of Study *
Program *
Year in School *
Aside from your studies, what do you hope to obtain the MOST during your time at UC Merced? *
What are you interested in (check all that apply)? *
Required
Do you have any questions, concerns, or topics you'd like for us to address in a special talk? *
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