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Name & Email

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First Name*

Last Name*

Email Address*

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Mailing Address (OPTIONAL)

Provide if you would like to receive a CMC Guidebook, program brochures, and event postcards.

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Mailing Address

Apartment/Unit Number

City

State

Postal Code

Country

Province and/or Postal Code

Phone Number (OPTIONAL)

Provide if you would like occasional text messages about events in your area or important deadlines.

Preferred Phone Number

Mobile Phone(10 digit minimum)

(10 digit minimum)

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Birth Date

Birth Date*(use the 8-digit, US format: MM/DD/YYYY)

(use the 8-digit, US format: MM/DD/YYYY)

Academic Interests

I am most interested in...*

Additional Info

High School Graduation Year*

Which campus most interests you?*

Anticipated Start Term*

How did you first hear about CMC?*

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