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Apply for Admission to the School of Evening and Graduate Studies

First Name:

 

Last Name:

 

Preferred Name:

 

Date of Birth:

 

E-mail Address:

 

Home Phone:

 

Mobile Phone:

 

Permanent Address:

 

City:

 

State:

 

Zip Code:

 

County:

 

Country:

 

Ethnicity/Nationality:

 

Gender:

 

Marital Status:

 

Have you ever been charged
with a criminal offense?



 

Citizenship Status:

 

Are you a U.S. Veteran?

 

Anticipated Major:

 

Term of Entry:

  Year: 

 

Are you planning to file the Free Application for Federal Student Aid (FAFSA)?



 

You will enter as a:

 

Have you attended Catawba previously?

Yes   No  

 

High School:

 

Year of Graduation:

 

How did you hear about us?:

 


By entering your initials below, you indicate that all information submitted with this application is complete, correct,
and honestly presented.

Initials:

 

 

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