Call Me MISTER Application

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*First Name

Middle Name

*Last Name

*Phone Number

*Email Address

*Street Address

*City, State and Zip

*Date of Birth

Parent/Guardian Name

High School

High School Graduation Date

Current Institution (if applying as a transfer student)

Credit hours accumulated (If applying as a transfer student or current GC student)

*Intended term of entry

*Are you applying for entry as an undergraduate student or graduate student?

undergraduate student graduate student

*Intended Major

Elementary & Early Childhood Education Secondary & Middle Grades Education Special Education

SAT Verbal Score

SAT Math Score

ACT Composite Score

Current Cumulative GPA (If a current college student, please indicate your college GPA)

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