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* 1. Please check any of the following programs of study that you would be likely to enroll in if they are offered while you are still in high school:

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* 2. What career are you planning to pursue?

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* 3. Do you plan to attend a community college after high school graduation?

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* 4. If so, do you plan to transfer to a university after attending community college?

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* 5. Do you have questions about transfer that you would you like someone to contact you to discuss?

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* 6. Name:

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* 7. Phone:

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