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Name (First Middle Last)
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Address
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(City)
(State)
(Zip)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Arab Republic of Yemen
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire (Sint Eustatius and Saba)
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory (the)
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands (the)
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands (the)
Colombia
Comoros (the)
Congo (Republic)
Cook Islands (the)
Costa Rica
Cuba
Curacao
Cyprus
Czech Republic
Dahome
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
Egypt
El Salvador
Elfenbeinkueste
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (the) [Malvinas]
Faroe Islands (the)
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories (the)
GUERNSEY
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
ISLE OF MAN
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
JERSEY
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (the Democratic Peoples Republic of)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands (the)
Martinique
Mauretana
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (the Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger (the)
Nigeria
Niue
Norfolk Island
Northern Mariana Islands (the)
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Phillipines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Croatia
Republic of Maldives
Republic of San Marino
Republic of South Africa
Romania
Russia
Rwanda
Réunion
SAINT BARTHELEMY
SAINT MARTIN
Saint Helena (Ascension and Tristan da Cunha)
Saint Kitts & Nevis (West Indies)
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan (the)
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands (the)
Tuvalu
Uganda
Ukraine
United Arab Emirates (the)
United Kingdom
United States
United States Minor Outlying Islands (the)
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Zaire
Zambia
Zimbabwe
Åland Islands
(Country)
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E-mail
Gender
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Male
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Birth Date
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Marital Status
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Single
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Separated
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Mother's Maiden Name
Religious Preference
Advent Christian
African Meth Episcopal
Agnostic
Anglican
Apostolic
Assembly of God
Atheist
Bahai Faith
Baptist
Baptist, American
Baptist, Free Will
Baptist, Southern
Bible Baptist
Bible Church
Buddhist
Ch of Christ, Christian
Ch of Christ, Holiness
Charismatic
Christ, Christian Union
Christian
Christian & Mission All
Christian Meth Episcopal
Christian Reformed
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Church of Christ
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Church of God in Christ
Church of J. Christ LDS
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Congregational
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Hindu
Islamic
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Jewish
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Methodist
Moravian
No Preference
Nondenominational
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Quaker
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Salvation Army
Seventh Day Adventist
Unitarian
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Wesleyan
Church Name
High School Information
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High School Name
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City and State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Foreign Address
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Counselor
GPA
ACT
SAT
Class Rank
of
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Graduation Year
Academic Information
Intended Major
Accelerated BSN (No Bachelor earned by ABSN start)
Accounting
Behavioral Health
Biology
Business
Business - Agribusiness
Chemistry
Child Development
Communication
Comparative Religion & Philosophy
Computer Science
Criminal Justice
Cybersecurity
Education-Early Childhood (MO Certification Only)
Education-Elementary (MO Certification Only)
Education-Secondary Social Science (MO Cert Only)
Education-Special Ed (MO Cert Only)
Education/Secondary-Chemistry
Educational Administration
English
Environmental Science
Exercise Science
Exercise Science - Athletic Training
History
Information Technology Management
Interdisciplinary Studies
M.A. of Music Education
Management
Marine Biology
Mathematics
Music
Music Education
Music Ministry
Non-Degree Seeking
Nursing
Occupational Therapy Assistant
Physical Education
Physical Therapy Assistant
Physics
Political Science
Professional Writing and Publications
Psychology
Religion & Church Leadership
Sociology
Sports Management
Theatre Arts
Undeclared
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I plan to enroll
Fall
Spring
May
Summer
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Student type
Freshman
Transfer
International
Full-time or Part-time?
Full-time
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
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