Student ID
First Name *
Last Name *
Mobile Phone
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Academic Program * Accounting Art - Fine Art Art - Media Art Biology Business Administration Business-Accounting Business-Marketing Business-Strategic Sales Management Communication Studies Computer Information Systems Creative Writing Criminal Justice Education Education-Elementary K-8 Education-Physical Education K-12 Education-Second Education-Secondary: Life Sciences (Bio) 7-12 Education-Secondary: Social Studies 5-12 Education-Special Education K-12 Education-Theatre K-12 Educational Communities Environmental Science Environmental Studies and Sustainability Game and Digital Media Design Health Science History Kinesiology Outdoor Education Philosophy & Literature Political Science Psychology Psychology-Human Services Sport & Recreation Management Theatre Undeclared
Desired Start Date * Fall 2019 Spring 2020 Fall 2020 Spring 2021 Fall 2021
Last Term Attended *
Transfer Credits to be evaluated * No Yes
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