| Last Name * |
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| First Name * |
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| ID # * |
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| Year * |
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| Email * |
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| Cell Phone |
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| Box # * |
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| Major |
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| Minor |
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Are you ready to declare your major? |
| Yes |
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| No |
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If not, do you have general areas of interest? |
| Please indicate - |
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| Do you have particular faculty in mind? |
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Are you still very much undecided? |
| Check the box if yes. |
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Would you like to meet with someone to discuss possible majors? |
| Yes |
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| No |
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* - required fields |
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