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Web Seminar Registration
Student Name
Home Phone Number
Cell Phone Number
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Preferred date and time of Web Seminar
September 9th @ 7 PM CST
September 15th @ 2 PM CST
September 23rd @ 7 PM CST
October 7th @ 7 PM CST
October 18th @ 7 PM CST
October 28th @ 7 PM CST
In which program are you interested?
Four-Year MD Program
Pre-medical plus Four-Year MD Program
To which semester will you apply (if applicable)?
Jan '11 (Spring)
May '11 (Summer)
Sept '11 (Fall)
Jan '12 (Spring)
Other