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	Admissions More Info Request Form Last Name: * First Name: * Gender: * MaleFemale Email Address: * Date of Birth: Current High School: * High School Year of Graduation: Previous College/University: Potential Enrollment Period Enrollment Semester: * FallSpringSummer Enrollment Year: * Enrollment Type: * First-Time FreshmanTransferRe-AdmittingMilitaryInternational Contact Information Permanent Street: * Permanent City: * Permanent State: * Permanent Zip: * Permanent Telephone: Interest What Academic Programs are you interested in? * Accounting Biology with Pre-Professional Sciences Emphasis Biology with Secondary Education Emphasis Chemistry Chemistry with Environmental Science Emphasis Early Childhood Education English & Foreign Languages History & Political Science International Business Management Management Information Systems Marketing Mass Communications Mathematics Mathematics with Computer Science Emphasis Mathematics with Secondary Education Emphasis Middle Grades Education Psychology Religion & Philosophy Secondary Education (Biology, English, History and Math.) Sociology How did you hear about Paine College? * Alumni College Fair College Guide Book Current Pane Student Direct Mail/Brochure Friend Guidance Counselor High School Visit Internet Search Online College Guide Parent Teacher Other Need assistance with this form?