Student/School Information
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Student's Name: *
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(required)
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| Year Graduating from High School: |
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| Entering As (Freshman or Transfer Student): * |
(required) |
| School Currently Attending: * |
(required) |
| Year/Semester Entering Selected Colleges: |
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Date of Birth (mm/dd/yyyy):*
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(required)
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Please list your candidate schools in order of preference.
Note: When it comes to the number of schools you list, size does NOT matter: West Coast or International families might make one long trip; families with target schools close to home (as on the East Coast or in the Midwest) may take several trips during the year. The individual boxes are solely for our ease in organizing information.
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School # 1:
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School # 2:
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School # 3:
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School # 4:
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School # 5:
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School # 6:
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School # 7:
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School # 8:
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School # 9:
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School #10:
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Additional Schools:
(box expands) |
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Primary Area of Academic Interest:*
(or Undecided)
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Secondary Area of Academic Interest:
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Be sure to enter "Partial" or "Complete" (see "Partial or Complete" text box - the last field on the Form - below)
and Submit your information (click on "Submit" button at bottom of Form) at the end of each session.
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Travel Party Information
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Parent/Guardian #1: *
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(required)
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Parent/Guardian #2:
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Address #1:
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Address #2:
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City:
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State (scroll to end if outside US):
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Country (outside the US):
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Zip or Postal Code:
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Home or Business Phone:
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Cell Phone #:
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Email: *
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(required)
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| Number of Travelers: * |
(required) |
| Number of Travelers under 18: |
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Be sure to enter "Partial" or "Complete" (see "Partial or Complete" text box - the last field on the Form - below)
and Submit your information (click on "Submit" button at bottom of Form) at the end of each session.
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Travel Information
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Tour Start Date: *
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(required)
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| Tour Finish Date: * |
(required) |
Tour Finish Date:
(IF a drop-down calendar does
not appear in your Browser) |
(mm/dd/yyyy)
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Are number of days expandable or firm?: *
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(required)
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Is Start Date moveable or firm?:
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Is Finish Date moveable or firm?:
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Air Travel Information
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Need Air Travel Reservations?: *
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(required)
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Rental Car Information
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Need a Rental Car: *
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(required)
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Non-Smoking rental vehicle:
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Road Trip Information
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Will you be driving your own car?: *
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(required)
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"Driving from Home" Departure Point (ONLY if different from Home Address)
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Address # 1:
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Address # 2:
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City:
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| State: |
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Zip or Postal Code:
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Hotel Information
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Number of rooms: *
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(required)
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Be sure to enter "Partial" or "Complete" (see "Partial or Complete" text box - the last field on the Form - directly below)
and Submit your information (see "Submit" button directly below) at the end of each session.
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Partial or Complete Information
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Partial or Completed Form:
Enter: "Partial" or "Complete" in box * |
(required) |
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