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Demographic Information

First Name

Your legal first name, as it would appear on your birth certificate

Middle Name

Last Name

Your legal last name, as it would appear on your birth certificate

Suffix

Preferred First Name

Birthdate

Birthdate

Email Address
Please do not use the email address issued to you from your high school.

Phone Number

Phone type

We may text you about:

• missing application items

• scholarship opportunities

• important reminders and deadlines

I would like to receive important updates via text. (Standard text messaging rates apply)

We may text you about:

• missing application items

• scholarship opportunities

• important reminders and deadlines

I would like to receive important updates via text. (Standard text messaging rates apply)

Yes

No

Address Information

Country

Street

City

Region

Postal Code

Country of Citizenship

Academic Information

I am a

Interested In

Academic Interest

Entry Term

School Information

High School

Graduation Month/Year

Graduation Month/Year