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UW field trip 10/24/18
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Student First Name
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Student Last Name
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Date of Birth (Example: 8/15/2001)
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Gender (Example: male or female)
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Address (Example: 2700 Meadowlark Avenue)
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City (Example: Cheyenne)
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State (Example: WY)
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Zip (Example: 82007)
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Email (Example:
TomJones@gmail.com
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Phone (home) (Example: OK to put cell phone #. Include area code: 307-123-4567)
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Phone (cell) (Example: 307-123-4567)
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High School (Example: South)
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HS Graduation YEAR (Example: 2019)
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First Time Freshman or Transfer? (which one do you plan to be at UW?)
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UW Entry Term (When do you plan on starting UW? Example: Fall 2019)
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Academic Area of Interest (Intended Major. Example: Business or Nursing or Anthropology)
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