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Personal Information
First Name
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Middle Name
Last Name
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Gender
Female
Male
Citizenship
Contact Information
Street Address Line 1 *
Street Address Line 2
City *
State *
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AL - Alabama
AK - Alaska
AS - American Samoa
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - District of Columbia
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MH - Marshall Islands
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VI - Virgin Islands
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Zip or Postal Code *
Country
Phone (###) ###-####
Email
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Academic Information
Type of student
Freshman (less than 24 college credits)
Transfer (more than 24 college credits)
Adult Accelerated Bachelor's (at least 23 yrs old)
Master's or Doctoral
Start Date
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Summer 2009
Fall 2009
Spring 2010
Summer 2010
Fall 2010
Spring 2011
Summer 2011
Fall 2011
Current/Most Recent High School or College Attended
Graduation Year
Major
*
Select One
Accounting (BS)
Accounting - Fast Track (BS - Second Degree)
Business Administration (AA or BS)
Communication (BS)
Communication (MSBC)
Education - Elementary (BS)
Education - Middle Grades (BS)
Education - Learning & Behavior Disorders (BS)
Education (MAT)
Education (MA)
Education Leadership (Ed.D)
Natural Science (BS)
Nursing (BSN or MSN)
Nursing - Fast Track (BSN - Second Degree)
Paramedical Medicine (AS)
Health Science (BS)
Occupational Therapy (MSOT)
Pastoral Ministry (Certification)
Psychology (BA, MA, Psy.D)
Social Sciences - Interdisciplinary (BA)
Social Work (BSSW or MSW)
Humanities - Interdisciplinary (BA)
Creative Writing (BFA)
Writing (MFA)
Undecided
How did you hear about Spalding?
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Visited Campus
College Fair
Employer
Received Mail From Spalding
Attended an Open House
Referred
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