High School Student Request Information Form

Note: Submitting this form does not register you for BIO 100Z on Beaver Island. Please follow the instructions below, submit this form and you will be contacted with more information.

First & Last Name

Email Address

Address

City

State

Zip Code

Telephone

Birthdate (MM/DD/YYYY)

Are you a high school student or incoming CMU freshman? High school studentHigh school senior attending CMU in the fallHigh school senior attending another university in the fall

Have you applied for admission to CMU?

If YES what is your CMU Student ID#

Take a class at the CMUBS

College of Science and Engineering

Central Michigan University
ET Building 200
Mount Pleasant, MI 48859

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