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| Middle Name: |
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| * Last Name: |
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| * Student ID: |
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| * Address: |
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| * City: |
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| * State: |
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| * Zip Code: |
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| Cell Phone number: |
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| Home Phone number: |
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| * Email Address: |
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| Alternate Email Address: |
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| * LaGuardia Start Date: |
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| * Expected Graduation Date: |
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| Major: |
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| How many credits will you have completed by the end of Spring II 2013? GPA: |
| How many credits do you expect to carry in 2013-2014? |
| How did you hear about the President's Society? |
Please answer the following question in the box provided below.
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* 1. We'd like to get to know you. Please briefly tell us about yourself and how you see the
President's Society helping you achieve success. ( Please try to keep your response to less than 750
words.)
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For further information please contact:
Elyse Newman - 718-482-5054 - elnewman@lagcc.cuny.edu
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