AEI Program Interest Form

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Please complete this form as completely as possible. If you have any questions or concerns, please contact Deni Dukic at ddukic@csufresno.edu.

* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Email Address *

Your answer

Home Country *

Your answer

Do you plan to study at a U.S. college or university? *

Yes

No

I'm not sure

Why are you interested in taking this course? *

Your answer

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