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Please complete the following registration form. (All fields are required)
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| Arts area to which you are applying : |
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| Prospective Student Information |
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First Name:
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Last Name:
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| Gender: |
Female: |
Male: |
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Address:
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City:
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State:
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Zip:
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Country:
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| Home Phone Number: |
( ) - |
| Cell Phone Number: |
( ) - |
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Birth Date:
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Day: Year:
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Email (Required):
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High School:
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| High School City and State: |
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| High School Graduation Year: |
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| Intended Major(s), if different from the arts area: |
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| I will be applying to Bucknell: |
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