Beta Alpha Psi Candidate Application
Spring 2021
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Email *
Last Name (as it should appear on your certificate) *
First Name (as it should appear on your certificate) *
CWID *
Birthdate *
MM
/
DD
/
YYYY
Local Phone Number *
Local Address *
Permanent Address *
Expected Undergraduate Graduation Date (MM/YYYY) *
MM
/
DD
/
YYYY
Expected Graduate Graduation Date (MM/YYYY) *
MM
/
DD
/
YYYY
1st City Preference for your Internship *
2nd City Preference *
Please check if you meet the following requirement: *
Required
Select one *
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