2012 Student Success Summer Program Application

(Use correct capitalization & punctuation when filling out this form) PAYMENT INFORMATION - Program Fee is $250 Please send check to: Concordia University - Student Success Attn: Pam Schwartz - Student Life Ofc. 4090 Geddes Rd. Ann Arbor, MI 48105 Or call 734-995-7310 to make credit card payment or arrange payment plan
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