APPLICANT INFORMATION > BIRTH COUNTRY > DEMOGRAPHICS > MAJOR AREA OF STUDY > CO-CURRICULAR INTERESTS > US EMERGENCY CONTACT > INT EMERGENCY CONTACT > Int. Educational Information
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APPLICANT INFORMATION: Applicant information such as contact, personal and admissions information.
Name as it appears on your passport
Family/Surname
First/Given

Other


Address Information
Home Address
Apt/PO Box

City

Postal Code
Country
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U.S. Address (if any)
Apt/PO Box

City

State / Province

Postal Code


Contact Information
Email Address

Phone Country Code
  
Phone Number
 (while attending Jacksonville college)

Country



U.S. Phone (if any) Area Code
Phone Number


Birth Date and Citizenship Information
Date of Birth
  (mm/dd/yyyy)

Country of citizenship


Admissions Information
Term to begin study

Degree Code
 Degree Code 


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