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D.C. Student Information Form
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* Indicates required question
Student First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Your answer
Social Security Number (no dashes)
*
Your answer
Street address
*
Your answer
City, state, zip code
*
Your answer
Country of birth
*
Your answer
Country of citizenship
*
Your answer
Green Card # [Required if Non-U.S. Citizen]
Your answer
Green Card Expiration Date
Your answer
Passport # [Required if Non-U.S. Citizen]
Your answer
An e-mail address you would like trip communications sent to (parent/guardian/student). Note: you can add additional below, up to 3. Only one e-mail per question please.
*
Your answer
An e-mail address you would like trip communications sent to (parent/guardian/student). Note: you can add additional below, up to 3. Only one e-mail per question please.
Your answer
An e-mail address you would like trip communications sent to (parent/guardian/student). Only one e-mail per question please.
Your answer
Parent/guardian name (1)
*
Your answer
Phone
*
Your answer
Address
Your answer
Parent/guardian name (2)
Your answer
Address
Your answer
Phone
Your answer
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