CoBHS Info Request Form

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First Name*

Last Name*

Preferred Name*

Phone number

Email*

What high school do you attend?*

Expected Graduation Year*

What area are you interested in?* Please Select Criminal Justice Health and Human Performance Leadership Military Science and Leadership National Security Studies Political Science and Public Management Psychological Science and Counseling School of Nursing Social Work Sociology and Community DevelopmentHold control/command to select multiple options.

What major or career are you most interested in?*

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