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Program of interest: *
Date of Birth *

U.S. Department of Education Information

The U.S. Department of Education requires that we submit annual reports listing the ethnicity of our students. This information is not used by the college for any other

purposes than the completion of this federal requirement.  Please answer the following:

Marital Status *

Parent/Guardian Information

Educational Experience

High School Graduation Date (If not graduated yet, best estimate of MM/YYYY). *
Have you ever been suspended, dismissed or placed on probation?

Background

Are you currently on Active Duty or are a Military Veteran?
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