Name and Contact Information
Student First Name
Student Last Name
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Cell Phone
Home Phone
Cell Phone Number
Home Phone Number
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Student Email Address
Parent/Guardian Email
Mailing Country
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United States
Canada
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands ( British )
Virgin Islands
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Mailing Street Address
Mailing City
Mailing State or Province
Please select...
Alberta
British Columbia
Manitoba
Newfoundland and Labrador
New Brunswick
Nova Scotia
Ontario
Prince Edward Island
Quebec
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Yukon
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Colorado
Connecticut
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District of Columbia
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Michigan
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New Hampshire
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New Mexico
New York
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Mailing Zip/Postal Code
Mailing Street Address
Mailing City
Mailing State or Province
Mailing Zip/Postal Code
Education and Enrollment Information
What school do you currently attend?
Choose Unknown School if no match.
When do you plan to enroll?
Please select...
Spring 2024
Fall 2024
Spring 2025
Fall 2025
Spring 2026
Fall 2026
Spring 2027
Fall 2027
Which type of student would you be?
Freshman
Transfer
International Freshman
International Transfer
Please indicate your primary academic interest.
Please select...
Accounting
Anthropology
Art
Biochemistry
Biology
Business Administration
Chemistry
Computer Science
Creative Writing
Criminal Justice
Cybersecurity
Data Analytics
Digital Marketing
Economics
English
Environment, Sustainability and Society
Environmental Chemistry
Exploratory/Undeclared
French
Game Development
Geology
Global Studies
History
Inclusive Elementary Education
Mathematics
Medical Technology
Music
Music Education
Nursing
Philosophy
Physics
Political Science
Psychology
Public Health
Religious Studies
Sociology
Spanish
Sport Management
Theatre Arts
Web Design
Are you interested in Education Certification?
Please select...
Childhood (grades 1-6)
Middle Childhood (grades 5-9)
Adolescence Education (grades 7-12)
Students with Disabilities (1-6)
Students with Disabilities (Generalist 7-12)
Art Education (K-12)
Source
Contact Information