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About Your Student(s)
Your Student’s First Name
Your Student’s Last Name
Your Student’s E-mail
Your Student's Date of Birth
 
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Other Student’s First Name
Other Student’s Last Name
Other Student’s E-mail
Other Student's Date of Birth
 


About You
Your First Name
Your Last Name
Your E-Mail
Your Family’s Mailing Address (1)
Your Family’s Mailing Address (2)
City
State/Province
Zip/Postal Code
Daytime Phone
    
Cell Phone
    
Your Ethnicity
Sex
Your Relationship to the Student


Your Background and Interests
Your Student’s Interests:
Extracurricular Interests:








Your Level of Education
Your Profession
Job Type
Your Employer


Hidden Attributes
Contact Type



Office of Admissions, 340 University Pavilion, PO Box 210091, Cincinnati, OH 45221-0091
513-556-1100 513-556-1105 fax
www.admissions.uc.edu