1.	Information*
	Last Name   First Name   Student ID Student

2.	Phone numbers* If you only have 1 number, please enter the same number twice.
	Parent Phone   Student Phone Phone

3.	Valid email address*

4.	List Top Three Choices: * Colleges and Universities
	Choice 1   Choice 2   Choice 3 Four Year University       Two Year College

5.	College Major or Career Choice*

6.	Military Service: Choose One
	Army   Air Force   Marine Corps   Navy   Coast Guard Military Branch

7.	Other plans: Autobody, Cosmetology, etc...