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First Name:											MI:  Last Name:
Address:
City:											State: SelectAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip:
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Gender:											MaleFemale
High School:											Graduation Year:
ACT Score:											SAT Score:
Sports Played in High School:											(If applicable)
Have you previously attended another College/University?
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Attend Term:											Spring 2010Summer 2010Fall 2010Summer 2011Fall 2011
Which Preview day  will you attend?											Select OneFriday, October 9, 2009Saturday, November 7, 2009Friday, December 4, 2009Friday, January 22, 2010Friday, February 12, 2010Friday, March 19, 2010Saturday, April 17, 2010
Guests:											0123456789
Academic Interest (Major):
Option 1:											SELECT MAJORAccounting American Indian Studies Art Art Teaching Biology Biology Teaching Business Management Business Education Chemistry Chemistry Teaching Communication Arts Drafting (two year) Early Childhood Special Education Elementary Education English English Teaching Enterpreneurial Studies Environmental Physical Science General Studies (two year) History History Teaching Human Resource Management Human Services Industrial Technology Industrial Technology Teaching K-12 Paraprofessional (two year) Marketing Mass Communication Mathematics Mathematics Teaching Music Music Teaching Outdoor Education Physical Education Physical Science Political Science Pre-Agriculture Pre-Chiropractic Medicine Pre-Dental Hygiene Pre-Dentistry Pre-Fisheries Biology Pre-Forestry Pre-Law Pre-Medical Technology Pre-Medicine Pre-Mortuary Science Pre-Nursing Pre-Occupational Therapy Pre-Optometry Pre-Pharmacy Pre-Physical Therapy Pre-Physician Assistant Pre-Podiatric Medicine Pre-Range Management Pre-Repiratory Therapy Pre-Veterinary Medicine Pre-Wildlife Management Professional Accountancy Psychology Social Science Social Science Teaching Sociology Spanish Spanish Teaching Special Education Speech/Theatre Tourism & Hospitality Management Tourism & Hospitality Management Undecided Wellness Management
Option 2:											SELECT MAJORAccounting American Indian Studies Art Art Teaching Biology Biology Teaching Business Management Business Education Chemistry Chemistry Teaching Communication Arts Drafting (two year) Early Childhood Special Education Elementary Education English English Teaching Enterpreneurial Studies Environmental Physical Science General Studies (two year) History History Teaching Human Resource Management Human Services Industrial Technology Industrial Technology Teaching K-12 Paraprofessional (two year) Marketing Mass Communication Mathematics Mathematics Teaching Music Music Teaching Outdoor Education Physical Education Physical Science Political Science Pre-Agriculture Pre-Chiropractic Medicine Pre-Dental Hygiene Pre-Dentistry Pre-Fisheries Biology Pre-Forestry Pre-Law Pre-Medical Technology Pre-Medicine Pre-Mortuary Science Pre-Nursing Pre-Occupational Therapy Pre-Optometry Pre-Pharmacy Pre-Physical Therapy Pre-Physician Assistant Pre-Podiatric Medicine Pre-Range Management Pre-Repiratory Therapy Pre-Veterinary Medicine Pre-Wildlife Management Professional Accountancy Psychology Social Science Social Science Teaching Sociology Spanish Spanish Teaching Special Education Speech/Theatre Tourism & Hospitality Management Tourism & Hospitality Management Undecided Wellness Management
How did you hear  about this event?											Please Select OneHigh School Counselor/TeacherEmailFriendsWebsiteRadio AdTV AdPostcard/MailOther