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Student First Name
Student Last Name
Student Email Address
Student Phone Number
Major/Area of Study
Diagnostic Medical Sonography (Ann Arbor)
Nursing
Pre-College Dual Credit
Radiologic Technology
Rehabilitation Science (BSRS)
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When will the student be starting college?
Fall 2025
Spring 2026
Fall 2026
Fall 2027
Fall 2028
Fall 2029
Which high school does the student go to?
High School Code (HIDDEN)
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Text
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