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Student's First Name:
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Student's Last Name:
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Address:
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(please include an apartment or unit number if applicable) |
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City:
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State:
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Zip:
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E-mail:
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Preferred Phone:
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Current School Name:
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Intended Major: |
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High School Graduation Year:
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Student's Date of Birth:
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I will begin college in:
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Have you already applied to NIU? |
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NIU Z-ID #: |
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