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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: