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First name:
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Your answer
Last name:
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Your answer
Name as you want it to appear in the program:
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Your answer
High School:
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Alvin High School
ASSETS Academy
Manvel High School
Shadow Creek High School
Class rank
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Your answer
Mailing address:
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Your answer
City:
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Your answer
Zip code:
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Your answer
Cell phone number - we will text you with important information and reminders. Please be sure to check your messages!
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Your answer
Email address:
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Your answer
Mother's name (first and last):
Your answer
Mother's employer:
Your answer
Mother's cell phone number:
Your answer
Father's name (first and last):
Your answer
Father's employer:
Your answer
Father's cell phone number:
Your answer
College or University you plan to attend:
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Your answer
Major:
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Your answer
What junior high did you attend?
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Alvin Junior High
Fairview Junior High
Harby Junior High
Manvel Junior High
Nolan Ryan Junior High
Rodeo Palms Junior High
Dr. Ronald E. McNair Junior High
Other:
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