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