Request information from CMU

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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?
    
Honor Societies
Baseball
      Position:
    
Inscape (Literary Magazine)
Basketball-Men
      Position:
    
Intramural Sports
Basketball-Women
      Position:
    
KCMC Campus Radio
Central Collegian (newspaper) Ragout Yearbook
Cheerleading Religious Organizations
Choir
      Soprano, Alto, Tenor, or Bass?
    
Service Organizations
Cross-Country Soccer-Men
      Position:
    
Dance/Pom-poms Soccer-Women
      Position:
    
Flags Softball
      Position:
    
Football
      Position:
    
Student Government
Golf-Men Theatre
Golf-Women Track
      Position:
    
Greek Life (Sororities/Fraternities) Volleyball-Women
      Position:
    
Additional Information
Please call me Yes  No
I would like information about   Campus Visit
  Major
  Financial Assistance
Other Relevent Information