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ACCELERATED PROFESSIONAL PROGRAMS
Orientation Registration
[ NOTE: Orientation registration is for accepted students only. ]
PERSONAL INFORMATION
First Name:
Middle/Maiden Name:
Last Name:
Suffix:
Name you wish to be called:
Address:
City:
State:
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AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Daytime Phone:
[REQUIRED]
Email:
[REQUIRED]
Intended Major:
--------------- Select --------------
Accounting
Birth-Kindergarten Education
Business Management
Criminal Justice & Criminology
Elementary Education K-6
Gerontology
R.N. to B.S.N.
Social Work
Special Education: Gen. Curriculum K-12
Undecided
Orientation Session
--------------- Select --------------
August 14, 2012 (5:30 p.m. - 8:30 p.m.)
October 16, 2012 (5:30 p.m. - 8:30 p.m.)
January 2, 2013 (5:30 p.m. - 8:30 p.m.)
March 5, 2013 (5:30 p.m. - 8:30 p.m.)