Please complete the information below to help NSU in our Recruiting efforts!

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* 1. What's your first and last name?

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* 3. Please provide your email address, so we can follow up with questions if needed.

Please answer the following on behalf of the student.

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* 5. What's the student's first name?

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* 6. What's the student's last name?

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* 7. Please enter the student's contact information below:

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* 8. High School/College Attended:

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* 9. High School Parish/County:

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* 10. Most up to date GPA:

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* 11. Highest Achieved ACT Composite Score:

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* 12. Year of Graduation:

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* 14. Date of Birth 

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