| Select a Saturday |
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| First Name |
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| Last Name |
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| Address 1 |
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| Address 2 |
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| City |
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| State |
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| Zip Codes |
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| Email |
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| Phone |
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| Number Attending |
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| High School |
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| Year of Graduation |
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| Entering Semester |
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| Program of Study |
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| How did you hear about UC |
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| If other, please explain |
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| Transfer Student |
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| Previous college |
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| Note to admissions |
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