I would like to attend the following event:
Education Info Session - May 15
School of Comminications and Information Systems - May 22
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| First Name*: Middle Initial: Last Name*: |
| Address*: |
| Address: |
| City*: | State*: |
| Zip Code*: - | Phone*: (XXX)XXX-XXXX |
| Secondary Phone: |
| Email*: |
| Program of Interest* (first choice): |
Type of Program Preference:
Online On Ground - Moon Township On Ground - Downtown |
| Entrance Term*: |
| Employer: |
Best time to contact:
Morning Afternoon Early Evening
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