Adopt a College Student Program
Name(*)

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School You Will Attend in the Fall(*)

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School Mailing Address

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If you do not have your exact mailing address yet, please provide some form of contact information so we can get this before we want to mail something to you.
Your Intended Major/Minor (if determined)

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Anticipated Date You Will Leave (if attending an out-of-town school)

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Email Address

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Cell Number

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Can we text this cell?

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What is your favorite snack?

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What is your favorite candy?

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What is your favorite color?

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Do you have any favorite sports teams?

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Do you have any hobbies or interests? How do you like to spend your spare time?

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Please share any additional information that would help us get to know you better.

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Enter the characters you see here:(*)
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