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First Name*

Middle Name

Last Name*

Birthdate*

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Email Address*

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Cell Phone Number

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Mailing Address*

Country

Street

City

Region

Postal Code

Future Plans

Are you a freshman or a transfer student?*

Freshman (Current high school student or no college courses after high school)

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When do you want to start at Rockhurst?*

What are you interested in studying?

Education History