First Name

Last Name

Student E-Mail Address

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Would you like to enter contact information for a parent/guardian?

Yes

Parent/Guardian Information

First Name

Last Name

Phone Number

Okay to text?

YesNo

Parent/Guardian E-Mail Address

Relationship to Student

Are you an international student or domestic student?

Domestic (U.S. Citizen or Permanent Resident)International

Which country are you from?

Address Information

Street

City

State

ZIP Code

Cell Phone Information

Cell Phone Number

Okay to text?

YesNo

Academic Information

What kind of student are you?

When do you plan to start at ETSU?

Which major are you interested in?

Prior Academic Information

Current or Most Recent School Attended

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Graduation Year