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General
Academics
Athletics
Parental/Supplemental
First Name
*
Last Name
*
Date of Birth
Please be sure to select the correct year. Ex December 23, 1977 = 12/23/1977.
Nationality
*
Bahamas
Haiti
Jamaica
United States
Other
Other
(Countries that you hold a valid passport for. Select all that apply)
Sex
*
Male
Female
Parental Status
*
Single
Married
Divorced
Separated
Other
Parental Status
Who do you live with?
*
Both Parents
Mother
Father
Grandparents
Other
Who do you live with?
Home Phone
*
Include area code. Enter numbers only. Ex. 2425225587
Mobile Phone (if applicable)
Include area code. Enter numbers only. Ex. 2425225587
Email Address
*
Confirm Email Address
*
Please confirm your email address.
School
*
School Location
*
Bahamas
USA
Canada
Other
Other
Island
*
Abaco
Andros
Acklins
Berry Islands
Bimini
Cat Island
Crooked Island
Eleuthera/Harbour Island/Spanish Wells
Exuma
Grand Bahama
Inagua
Long Island
Mayaguana
New Providence
Ragged Island
Rum Cay
San Salvador
Other
Island
City
*
State
*
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California
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Connecticut
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District of Columbia
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Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
State
Will you be the first person in your immediate family to attend college?
*
Yes
No
Immediate family includes your Mother, Father, and Siblings.
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