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Thank you for your interest in Dickinson!

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Student Information

Student First/Given Name*

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Student Last/Family Name*

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Student Contact Information

Birthdate*

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Secondary School Information

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Year Planning to Enter Dickinson*

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Current School Name*

CEEB Code

Did you attend one of the following events?

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I saw Dickinson College at a College Fair

None of the above

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Do you have a minute or two to tell us more about you?

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Additional Information

The following fields are optional, but they will help us to get to know you.

Parent/Guardian Email Address

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Additional information regarding your sex or gender identity

Are you Hispanic/Latino?

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Regardless of your answer to the prior question, please select one or more of the following that best describes you:

Areas of Academic Interest

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Areas of Co-Curricular Interest

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