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First name |
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Middle name |
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Last name |
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Preferred name |
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Street address |
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City |
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State |
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Zip |
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County |
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Home phone |
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Cell phone |
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E-mail |
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Social Security number |
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Date of birth (mm/dd/yyyy) |
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Birthplace city |
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Birthplace state |
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Gender |
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Marital status |
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If married, spouse's name |
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| Tell us about your education |
High school name |
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Address |
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City |
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State |
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Zip |
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Graduation date (mm/yyyy) |
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Guidance counselor's first name |
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Guidance counselor's last name |
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Guidance counselor's phone |
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Class rank |
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Class size |
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| SAT scores |
SAT critical reading |
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SAT writing |
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SAT math |
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Test date |
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| Did you take the test a second time? Please provide those scores as well. |
SAT critical reading |
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SAT writing |
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SAT math |
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Test date |
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| ACT Scores |
ACT composite |
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Test date |
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| Did you take the test a second time? Please provide those scores as well. |
ACT composite |
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Test date |
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| Academic qualifications for Indiana residents (please indicate if you are not an IN resident): |
| Will you graduate with an Indiana Academic Honors Diploma? |
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| Will you complete the Core 40 curriculum requirements? |
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| Will you graduate with the 21st Century Scholarship requirements? |
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| If you have been out of high school more than four months, list sequential employment, educational, and other activities. |
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| Tell us about your academic background |
| Please describe any information that you would like us to know about your academic background while in high school. |
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Tell us about your activities
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| Please provide a complete list of your activities, beginning with the ninth grade. |
| Academic honors, special awards, leadership positions, and offices held |
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| Co-curricular activities, athletics and volunteer work in which you have participated |
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| Co-curricular activities in which you plan to participate while at Manchester College |
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| Musical activities in which you plan to participate while at Manchester College |
| Instrumental performance - instrument |
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| Vocal performance - vocal part |
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| Varsity athletics in which you plan to participate while at Manchester College |
| 1st sport |
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| 2nd sport |
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| 3rd sport |
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| Tell us about your college plans |
| Please describe what factor(s) most influenced your decision to apply to Manchester College |
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| Please describe what are the most important factors in your college decision |
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| Semester |
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| Applying for |
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| Major |
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| Career plans/goals, if known |
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| Manchester College is my |
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| Will you be applying for on-campus housing? |
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| List other colleges to which you have applied or plan to apply |
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| Tell us about your family |
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| First name |
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| Middle initial |
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| Last name |
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| Attended college? |
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| Number of years |
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| Home address |
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| City |
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| State |
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| Zip |
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| Occupation |
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| Current employer |
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| E-mail address |
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| Work telephone |
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| Preferred method of contact |
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| Preferred language |
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| First name |
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| Middle initial |
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| Last name |
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| Attended college? |
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| Number of years |
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| Home address |
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| City |
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| State |
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| Zip |
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| Occupation |
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| Current employer |
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| E-mail address |
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| Work telephone |
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| Preferred method of contact |
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| Preferred language |
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| Please list names of brothers and sisters and their current years in school |
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| Names and relationships of relatives who attend(ed) Manchester |
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| Code |
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