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First Name
Last Name
Email
Mailing Address
City, State, ZIP
,
Local Phone
Permanent Phone
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High School
Date of Birth
SID# (9 digit, no dashes)
Major
Year (for fall of 2008)
SO
JR
SR
Anticipated Graduation
May
June
July
August
September
October
November
December
January
February
March
April
2008
2009
2010
2011
2012
2013
Please list your college activities and/or scholarships you've received.
Why would you make a good Engineering Ambassador?
How would you describe your leadership skills?
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