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Student Information Full Name First (Given)*: Last (Family)*: Mailing Address Street*: City*: State/Province*: AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY Zip Code*: Country: County (If NJ resident): Phone number: E-mail*: Gender: SelectMaleFemale
Service Information Branch: Highest Rank: MOS: Service Status: Currently ActiveHonorably DischargedActive Reserves If you were honorably discharged, please tell us when: Do you have your DD-214 (Discharge Papers) on hand, if not active duty? Yes No Have you contacted the VA to select the Post 9-11 option for your benefits? Yes No
(see http://vabenefits.vba.va.gov/vonapp/main.asp and follow the Start VONAPP link to start the applciation process to receive your Certificate of Eligbility (COE) if you answered "no")
Educational Information College Name: Total Credits Earned: Cumulative Grade Point Average (GPA): Academic Plans When do you want to begin studying at Stevens?*: Year, Term2010, Fall2010, Spring2011, Fall2011, Spring Will you be a first-year freshman or transfer student?*: Entry StatusFreshmanTransfer Indicate Major below: Schaefer School of Engineering and Science: MajorBioanalytical ChemistryBioinformaticsBiomedical EngineeringChemical BiologyChemical EngineeringCivil EngineeringChemistryComputational ScienceComputer EngineeringComputer ScienceCybersecurityElectrical EngineeringEngineering PhysicsEnvironmental EngineeringInformation SystemsMathematical SciencesMechanical EngineeringNaval EngineeringPhysicsScience and LawUndecided Engineering College of Arts and Letters: MajorArt and TechnologyEnglish & American LiteratureHistoryMusic and TechnologyPhilosophyScience and Technology Studies Howe School of Technology Management: MajorBusinessQuantitative Finance School of Systems and Enterprises: MajorEngineering Management Pre-Professional and/or Accelerated Programs: ProgramPre-DentistryPre-LawPre-Medicine Extra-Curricular Activities/Athletics: