Information Request
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Please fill out this form to receive more information about the College Assistance Migrant Program at West Texas A&M University.
*
1
. Name
Name
*
2
. Mailing Address
Mailing Address
Address
City
State
Zip
3
. Phone Numbers
Phone Numbers
Home Phone
Cell Phone
4
. Email Address
Email Address
5
. How often do you check you email?
How often do you check you email?
Daily
Weekly
Monthly
6
. Facebook ID
Facebook ID
7
. What school do you currently attend?
What school do you currently attend?
8
. Current High School Level:
Current High School Level:
Freshman
Sophomore
Junior
Senior
GED Graduate
Graduation Date:
9
. I am applying for admission in:
I am applying for admission in:
Spring 2012
Fall 2012
Spring 2013
Fall 2013
Spring 2014
Fall 2014
Other (please specify)
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