Student Data - 2018

* 1. First name of student:

* 2. Last name of student:

* 3. Student's parish (parish name and city):

* 4. Student's high school (school name and city):

* 5. Student's e-mail address (non-school address, i.e., @gmail, @yahoo, @me, etc.):

* 6. Student's cell phone number (including area code):

* 7. Student's college or university of choice: 

* 8. City/town where university or college is located: 

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