AVID Classroom Presentations at Crystal Lake Central High School

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Email Address*

First Name*

Preferred Name

Middle Name

Last Name*

Birthdate*

I am a prospective...*

First Year

Transfer

Graduate

When do you want to start?

Do you plan to enroll in a 100% online degree program?

Yes

No

What do you want to study?

Please list your high school:

Please list the college you are attending or most recently attended:

Are you interested in the following programs? You can mark more than one:

Graduate Assistantship (GA)

Graduate Public Service Internship (GPSI)

Illinois Legislative Staff Intern Program (ILSIP)

Not interested

Would you like to provide us with additional information, such as your address and phone number?

Yes

No

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