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UHM CHINESE LANGUAGE FLAGSHIP CENTER: APPLICATION
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Chinese Name (if applicable)
Your answer
UH Student ID# (if applicable)
Your answer
UH Email (if applicable)
Your answer
Preferred Email
*
Your answer
Current Address: Street
*
Your answer
Current Address: City & State
*
Your answer
Current Address: Zip Code
*
Your answer
Permanent Address: Street
*
Your answer
Permanent Address: City & State
*
Your answer
Permanent Address: Zip Code
*
Your answer
What type of institution are you currently enrolled in?
High School
Community College
4-year institution
Other institution
I am not enrolled in an institution.
Other:
Clear selection
Name of Institution
Your answer
What is your class standing for the institution you are currently enrolled in?
Freshman
Sophomore
Junior
Senior
Not Applicable
Other:
Clear selection
What is your anticipated year and semester of graduation from your enrolled institution?
(Fall/Spring/Summer 20xx)
Your answer
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