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General Information
* Name (First Middle Last)      
Maiden Name
* Address
(Line 1)   
(Line 2)   
(City) (State) (Zip)
 (Country)
* Home Phone  (nnn-nnn-nnnn)
Cell Phone  (nnn-nnn-nnnn)
* E-mail
Gender
* Birth Date   (mm/dd/yyyy)
Marital Status
Mother's Maiden Name
Religious Preference
Church Name
High School Information
* High School Name
* City and State  
Counselor
GPA
ACT
SAT
Class Rank  of 
*Graduation Year
Academic Information
Intended Major
* I plan to enroll   
* Student type
Full-time or Part-time?
Other College(s) Attended
Extra-Curricular Information
 
Band
      What instrument?
    
Greek Life (Sororities/Fraternities)
Baseball
      Position:
    
Honor Societies
Basketball-Men
      Position:
    
Inscape (Literary Magazine)
Basketball-Women
      Position:
    
Intramural Sports
Bowling-Men
     
    
KCMC Campus Radio
Bowling-Women
     
    
Mascot
     
    
Campus Ministry Military Science (ROTC)
     
    
Central Collegian (Campus Newspaper) Music Ministry
     
    
Cheerleading Rodeo
Cheerleading (Stunt) Soccer-Men
      Position:
    
Choir
      Soprano, Alto, Tenor, or Bass?
    
Soccer-Women
      Position:
    
Civic Engagement Softball
      Position:
    
Competitive Shooting Sports Lamda Al
     
    
Student Government Association (SGA)
Cross-Country - Men Student Manager/Assistant
Cross-Country - Women Student Occupational Therapy Assoc.
DECA Theatre
Dance Team /Pom-Poms Track - Men
      Position:
    
E-Sports
     
    
Track - Women
      Position:
    
Flags Volleyball-Women
      Position:
    
Football
      Position:
    
Volunteerism
     
    
Golf-Men Wrestling-Men
     
    
Golf-Women Wrestling-Women
     
    
Yearbook
Additional Information
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I would like information about   Campus Visit
  Major
  Financial Assistance
Other Relevent Information