College Town Life: Cornell Edition

First Name*

Middle Name

Last Name*

Preferred Name

Birthdate*

Email Address*

Mailing Address*

Country

Street

City

Region

Postal Code

First Name*

Last Name*

Email Address*

School or Organization*

HIDDEN - School CEEB Code

HIDDEN - School Level

School or Organization Location (City, State or Country)

Race/Ethnicity Information (optional)

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please indicate how you identify yourself. (Select all choices that apply.)

Military Service (optional)

Have you ever served in the United States Military?

Yes

No

High School Information

Current High School or Institution

HIDDEN - School CEEB Code

Cornell Information

Interested in applying as*

Plan to enter Cornell in*

College Interests

College of Agriculture and Life Sciences

College of Architecture, Art, and Planning

College of Arts and Sciences

College of Engineering

College of Human Ecology

Cornell Jeb E. Brooks School of Public Policy

Cornell SC Johnson College of Business

School of Industrial and Labor Relations

Questions: List the top two questions you would like answered during the session (optional)

Question 1:

Question 2:

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Cornell Undergraduate Admissions

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