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*Student's Last Name
*Student's First Name
Student's Preferred First Name
Student's Middle Name
 
*Student's E-mail Address
Parent's E-mail Address
*Home Phone Number
Cell Phone Number
*Street Address
Address Continued
*City
*State or Province
(Other Foreign Addresses please select 'N/A')
*Zip / Postal Code
(International students without a Zip/Postal Code should enter "N/A")
*Country
 
*Gender

Date of Birth
  
Citizenship


 
*Admissions Category


*Enrollment Year
*First Major Preference
Campus lifestyle


 
High School from which you will be
graduating/have graduated.
High School Graduation Year
 
*How did you hear about Norwich?
If you Answered None of the Above Please enter How you heard about Norwich
 
Please indicate the ROTC Program of greatest interest to you.



 
What Sports are you interested in playing? (You may select more than one.)