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Transfer Student Information Request

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*Required Fields

Personal Information

*First Name:

*Last Name:

Middle Initial:
Preferred Name:
*Mailing Address:

*Mailing Address
[second line]:

*City:

*State/Province:

*Zip Code:

Phone:
*E-mail:
Cell Phone:
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(Optional) Ethnicity:
If other, please specify:
*Date of Birth: Month Day Year

Academic Information

*Interest in SUU:
1-High 2-Pretty High 3-Average 4-Pretty Low 5-Low
*Current College:
College(s) Previously Attended:
*Estimated SUU Attendance:
GPA:
*Intended Major:

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Last Update: Monday, December 12, 2011