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Student First Name

Student Last Name

Country

Street Address

City

State

Zip Code

Mobile Phone Number

I am a ...

Student Email

Parent or Guardian Email

Student Birthdate

GAID

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Program Selection

High School Options

Program of Interest?

Transfer Options

Anticipated Start Term?

Which High School do you currently attend?

Which College do you currently attend?

Biographical Information (Optional)

The information requested below is optional and will not be used for admissions purposes. It will be used to satisfy federal reporting requirements and may be used for other purposes allowed by law.

Sex

Gender Identity

Additional Identity:

Are Hispanic or Latino?

In addition, select one or more of the following racial categories to describe yourself.

By completing this form, I consent to Michigan Ross contacting me by email, telephone and/or SMS at the my telephone number (if provided above) regarding educational services. I understand this consent is not required to attend Michigan Ross. My information will be kept confidential and I can opt-out at any time.

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