| Name: ______________________ |
SS#: ______________________ |
| 1. _____________________________ Quality A. _____________________________ B. _____________________________ C. _____________________________
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2. _____________________________ Quality A. _____________________________ B. _____________________________ C. _____________________________
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| 3. _____________________________ Quality A. _____________________________ B. _____________________________ C. _____________________________
|
College Major and Transfer School: _____________________________
_____________________________ |