Date: Thursday, November 1

Time: 6:00 - 7:00 pm

Location: Queens University Sports Complex
2229 Tyvola Road, Charlotte, NC

* 1. Please provide your contact information.

* 2. What is the highest level of school you have completed or the highest degree you have received?

* 3. What is your Date of Birth?

Date of Birth
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* 4. Year of High School Graduation

* 5. What college or universities have you attended?

* 6. What is your intended major?

* 7. Are you interested in Day or Evening classes?

* 8. How did you hear about us?

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