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Personal Information:
First Name*:  MI:  Last Name*:

Eagle ID*: (Look up Eagle ID) Date of Birth:

Phone Number: Email:

Mailing Address:
Street/PO Box: City: State:  

Zip Code: County:

Change Major: Click here for a list of majors
Current Major: Update Major to:
Please note: If you are changing your current major to or from GTREP (engineering), you
will need to contact our office to do so.

Have you signed up for a SOAR Orientation session? Y N
If yes, then which session?

Submitted by: Date: