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Student Name

First Name

Last Name

Student Phone

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Student Email

Student Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Phone

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Parent/Guardian Email

Will you or did you graduate from Fridley High?

Where do you plan to attend school (school name and location):

Expected Major, Degree, or Certification you are seeking?