| High School Name: |
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College Name (if applicable) |
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| High School Address: |
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| High School Phone: |
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| Guidance Counselor: |
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| Expected High School Graduation Month/Year: |
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| Intended major at Merrimack: |
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| High School Grade-Point Average: |
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College Grade-Point Average: (if applicable) |
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| Class Rank: |
of |
| SAT Score (verbal and math): |
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| ACT Score: |
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| Do you plan to take either test again? |
Yes No |
| If yes, which one and when? |
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| Have you registered with the NCAA Clearinghouse? |
Yes No |
| Have you ever applied to Merrimack College? |
Yes No |
| Do you intend to apply for financial aid at Merrimack? |
Yes No |
| Academic Honors: (all-conference, all-america, etc) |
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| Are you looking for a scholarship (full, partial, no)? |
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| Top 3 College Choices: |
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| Other College Considerations |
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