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First Name:*
Middle Initial:
Last Name:*
Date of Birth:*
Street Address:*
Address 2:
City:*
State:* MN
Zip Code:* +4 (Determine your ZIP+4)
E-mail Address:*
Daytime Phone:*
Evening Phone:*
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Father or Guardian's Name: Phone:
Mother or Guardian's Name: Phone:
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Class Rank: Number of Students:
Highest SAT Score:
Verbal Date: Math Date:
Highest Composite ACT Score:
Verbal Score: Math Score:
College Currently Attending:
College GPA:
How long have you been a resident of Minnesota?
Are either of your parents Active, Retired or Disabled Military?
Do you have a pre-candidate Open at any Academy? Where and when did you apply?