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Personal

First Name

Last Name

Chosen Name:

A name that you are known as that differs from your legal name.

Birth Date

Email Address

Confirm Email Address

Cell Phone

Home Phone

Street Address 1

Street Address 2 (Apt or Unit #)

City

Check here if address is outside the U.S. or Canada

State/Province

ZIP/Postal Code

Address Line 3 (Province and Postal Code)

Country

Are you interested in taking a campus tour?YesNo

Are you a veteran or military-affiliated?YesNo

Are you interested in pursuing Athletics?YesNo

Is English your primary language?YesNo