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WE WANT TO KEEP IN TOUCH WITH YOU ! PLEASE COMPLETE THE FORM BELOW .

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Area Code Phone Number

Address

Notes/Comments

PHONE NUMBER: *

507-342-1000

WILL YOU APPLY TO [YU?] PROGRAM?

VERY LIKELY SOMEWHAT LIKELY UNSURE NOT VERY LIKELY NOT LIKELY

EMAIL ADDRESS: *

LAST NAME: *

ACADEMIC/PROFESSIONAL LEVEL

MIDDLE SCHOOL (6-8TH GRADE) HIGH SCHOOL (9TH-12TH GRADE) UNDERGRADUATE/COLLEGE GRADUATE SCHOOL YOUNG PROFESSIONAL

FIRST NAME: *

ADDITIONAL COMMENTS