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3/17/2016

PracticeApplication:Page4

EDUCATIONALINFORMATION
LastHighSchoolAttended
Highschool:* RandolphEarlyCollegeHighSchool

Find Clear

Typeofschool: Public
City: Asheboro
U.S.state/territory: NorthCarolina
Zipcode: 27205
Country: UnitedStatesofAmerica

Screen4

Int'lpostalcode:
Dateofentry: 08/2015

mm/yyyy

Dateofgraduation: 05/2019

mm/yyyy
Guidancecounselor

Firstname: Breanne

Lizeth,
ifyouhaveany
technicalquestions,
clickhere.

Lastname: Blackmon
Telephone:

(###)#######

Faxnumber:

(###)#######

Emailaddress:
*=Required

OtherHighSchoolsAttended
Startwiththemostrecent,listallschools,includingsummerschoolsandprogramsyouhave
attendedbeginningwiththeninthgrade.
Highschool: Clickthe'Find'buttontoselecttheinstitution

Find Clear

City:
U.S.state/territory: Clickhere
Zipcode:
Country: Clickhere
Int'lpostalcode:
Datesattended:

to:

mm/yyyy

Highschool: Clickthe'Find'buttontoselecttheinstitution

Find Clear

City:
U.S.state/territory: Clickhere
Zipcode:
Country: Clickhere
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3/17/2016

PracticeApplication:Page4

Int'lpostalcode:

to:

Datesattended:

mm/yyyy

TestInformation
Besuretonotethetestsrequiredforeachinstitutiontowhichyouareapplying.Theofficial
scoresfromtheappropriatetestingagencymustbesubmittedtoeachinstitutionassoonas
possible.Pleaselistyourtestplansbelow.
ACT
Datetaken/
tobetaken

English

mm/yyyy

Math

Reading Science Composite Writing

SATReasoningTests
Verbal/
Critical
reading

Datetaken/
tobetaken

mm/yyyy

Math

Writing

SATSubjectTests
Datetaken/
tobetaken

Subject

Score

Clickhere
Clickhere
Clickhere
Clickhere
mm/yyyy

TestofEnglishasaSecondLanguage
(TOEFLorOtherExam)
Datetaken/
tobetaken

mm/yyyy

Score

CollegeInformation
Listallcollegesatwhichyouhavetakencoursesforcredit.

College/University: RANDOLPHCMTYCOLLEGE

Find Clear

City: ASHEBORO
U.S.state/territory: NorthCarolina
Zipcode: 27203
Country: UnitedStatesofAmerica
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3/17/2016

PracticeApplication:Page4

Int'lpostalcode:

to: 12/2015

Datesattended: 08/2015

mm/yyyy

Degreecandidate? Yes

Find Clear

College/University: RANDOLPHCMTYCOLLEGE
City: ASHEBORO
U.S.state/territory: NorthCarolina
Zipcode: 27203
Country: UnitedStatesofAmerica
Int'lpostalcode:

to: 03/2016

Datesattended: 01/2016

mm/yyyy

Degreecandidate? Yes

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