Please Fill in this request form
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Information Request Form
Please send information about Michigan Tech Geological Engineering and Sciences to:
Date
(mm/dd/yy)
Name
(First, middle initial, last)
Address
City
, State
ZIP or Country code
Country
Telephone number
(include area code
)
Email address
, IM address
Gender
Male
Female
GPA (on a 4.0 scale)
Birth date
High School Graduation Year
2006
2007
2008
2009
2010
2011
2012
2013
2014
Current school name
School's location
City
, State
, Country
Intended college major
Geological Engineering
Geology
Earth Science
Applied Geophysics
Other interests (outside the classroom)
Submit Form to the Michigan Tech College of Engineering
Geological and Mining Engineering & Sciences Department
and the Admissions Office:
9/06
Form 02/09/06
