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| Middle Name: |
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| * Last Name: |
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| * Address: |
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| * City: |
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| * State: |
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| * Zip Code: |
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| * Phone Number: |
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| * Cell Phone Number: |
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| * May we text - message you? |
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| * Email Address |
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| * Birthdate: |
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| * When might you enroll at Metropolitan State? |
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| * Major/ Field of Interest |
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| Extra-curricular Activities: |
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| * Previous High School/ Colleges: |
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| * Graduation Year: |
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| * Select First Choice Date you would like to visit: |
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| * What time you like to meet? |
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| * Select Second Choice Date you would like to visit: |
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| * What time you like to meet? |
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| I prefer my appointment: |
Before my tour After my tour No tour |
| Number of people coming |
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| Comments, Notes or Special Accommodations: |
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Metropolitan State is committed to serving underrepresented communities, would you like to meet with one of these counselors serving these communities? Please check one of the following: | |
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