To ensure proper
follow up, please complete all (*) requested areas.
|
| |
| Personal Information |
| First Name:* |
|
| Last Name:* |
|
| Email:* |
|
| Gender:* |
|
| DOB:* |
|
| Citizenship:* |
|
| |
| Mailing Address |
| Street Address:* |
|
| City:* |
|
| State:* |
|
| Postal Code:* |
|
| Phone:* |
|
| |
|
Educational Information |
| I will be applying as: |
|
|
Do
you plan on applying to MEC as an F1 Visa holder? |
|
| I will be applying for
the: |
|
| Year: |
|
| High School Attended or
Currently Attended: |
|
| Graduation Date: |
|
| GED: |
|
| Date Received: |
|
| Primary Academic Interest:* |
|
| Secondary Interest: |
|
I am a Varsity Athlete
interested in:
(Select all that apply) |
|
| How Did You Hear
About MEC? |
|