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Name
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Street Address
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Address (cont.)
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City
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State/Province
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Zip/Postal Code
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Home Phone
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Cell Phone
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AOL IM
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How would you prefer to be contacted?
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Name of High School or College
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Year of Graduation
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High School Address (City, State)
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Intended Major(s)
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1)
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2)
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3)
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Current Extracurricular Activities
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1)
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2)
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3)
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4)
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5)
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Are you interested in Participating in College Athletics
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Athletic Interests
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Awards Received
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1)
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2)
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3)
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4)
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5)
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GPA
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SAT Combine Score
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ACT Score
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Colleges you have visisted
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What informaton would you like to receive?
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Parents/Guardians Name(s) and address(es)
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Relationship to you: i.e mother, brother, etc.
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College Parents Attended (if applicable)
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Do you know any friends or Relatives who have attended Lake Erie College? If yes, Please list names and years attended
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What size of college interest you? Why?
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What concerns do you have about choosing a college?
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Will you be applying for finacial aid?
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Yes No |
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Would you like to receive more information about finacial aid?
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Yes No |
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What questions do you have about Lake Erie College or choosing a college?
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