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Demographic Information

First Name

Last Name

Email Address

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Cell Phone (numbers only)

Birth Date (MM/DD/YYYY)

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Street Address

Apt/Suite

City

State/Province

ZIP/Postal Code

Country

INSTRUCTIONAL METHODS:

Hybrid - Students will attend a weekend residency each term and take online classes
Face to Face Learning - Students will attend classes on the main campus or another location where the method of instructional delivery is in person
100% Online Learning - Students will take all classes online (F-1 Visa students not eligible)

Entry Term

Instructional Method

Password

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