PEACE MULTICULTURAL UNIVERSITY
STUDENT APPLICATION
Student Personal Information
First Name:
Last Name:
Email:
Address:
City:
State:
Zip Code
(only enter numbers)
:
Race
Caucasian
Hispanic
African American
Native American
Asian/Pacific
Other:
Date of birth:
Gender:
Male
Female
Hobbies:
Talents:
References:
Add
Educational Summary:
High School:
High School Name:
High School City:
High School State:
Year of Graduation
Approximate Grade Point Average (GPA):
Colleges:
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Certification
I hereby certify that all information that I have completed and submitted as a part of this application process is true, correct, and accurately reflects my background.
Yes
No
First Name:
Last Name:
Submission Date: