Info Card

Page 1

send us your info so we can stay in touch! Name________________________________________________________________________ Date of Birth ____________/____________/____________ Address______________________________________________________________________ City_____________________________________________ State__________ Zip_________ Email Address________________________________________________________________ Home Phone (_____)_________________ Cell Phone (_____)______________________

 I do not wish to be contacted by text message

Major _______________________________ Activities Interest _______________________ Are you interested in visiting campus?

 Yes

 No

S C H O O L I N F O R M AT I O N School___________________________________________ Graduation Year___________


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