Name Prefix
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First Name*
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Middle Name
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Last Name*
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Social
Security Number
123456798 |
Gender
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Date
of Birth (mm/dd/yyyy)*
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/
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Race
or Ethnic Origin
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Mailing
Address (use up to 3 lines)*
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City*
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State*
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Zip
Code*
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Nation
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International Postal Code (if applicable)
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Phone Number
()
-
Ext.
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International Phone (if applicable)
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Email Address
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School Presently Attending*
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City*
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State*
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Nation
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High School Graduation Date*
/
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GED Year
GED Score
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What is your approximate grade point average?
on
a scale of:
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ACT Composite Score:
SAT Total:
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Entering Southeast as
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Admission Term*
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Please describe your present level of interest in
Southeast
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Possible Major or Area of Interest
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NOTE: *minor
only **associate degree ***certificate
program
+ Aerospace Studies offered in conjunction with Air Force ROTC |
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Please select your interests. You can
check more than one selection in each category.
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| Please
select your interests. You can check more than one selection in
each category. |
Please select your interests. You can
check more than one selection in each category.
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Please select your interests. You can
check more than one selection in each category.
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If you have any questions or comments for the
Admissions Office, please enter them here.
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