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Information Request Form

First Name*
Street Address*

Middle Name
City*
Last Name*
State*
Email Address

ZIP
Area Code and Telephone (###) ###-####
Country

Gender
High School Graduation Year
(if enrolling as a Freshman)
I will enroll as a *
I am applying for the term beginning*

High School CEEB Code
SAT Verbal score
High School GPA
SAT Math score
ACT Composite score
TOEFL total score
College GPA (if applicable)
 

First academic program of interest
Second academic program of interest

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 Jacksonville University · 2800 University Boulevard North · Jacksonville, Florida 32211 · 904-256-8000