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Use this form to enter information from college fairs and visits...etc

Personal Information

Legal First Name First Name is required.
Preferred First Name Nickname is required.
Middle Name
Last Name Last Name is required.

Address Information

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Address Line 2
City City is required.
State State is required.
Postal Code Postal Code is required.
Country Country is required.

Contact Information

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Phone Numbers (Exclude Country Code)

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Academic Information

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Program

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How Are You Enrolling? Enrolling status is required.

Academic Interests

Interest
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- Biology Education
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- Nursing
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- Philosophy
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- Political Science
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- Pre Engineering
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- Psychology
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- Sacred Music
- Social Entrepr
- Sociology
- Spanish
- Sports Management
- Studio Art
- Theatre

Demographic Information

Date of Birth MM/DD/YYYY
Sex

Sources

Source
- ACT Import
- Campus Visit
- CFNC Incomplete Applications
- College Fair
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- FAFSA Form
- LR Marketing or Advertisement*
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- Mail from LR*
- Other*
- SAT Score
- SATIMPORT
- Self Initiated Email
- Self Initiated Phone Call
- Self Initiated Visit
- Transcript Received
- Walk In
Sources is required.

Education Information

Use this area for both High School and other Colleges/Universities

Enter required data for each Degree.

Degrees

Add Another High School
1. High School Name
2. ETS Code The ETS code is not valid. The ETS code is not valid. Search
3. City
4. State
Institution Name

ETS Code

City

State

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User Defined Fields Title

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Entering Level
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