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Undergraduate Inquiry Form

Your Information

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Date of Birth*:	Month: -Choose- January February March April May June July August September October November December   Day: -Choose- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year: -Choose- 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921
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Gender*:	-Choose- Female Male Prefer not to Respond
Ethnicity*:	-Choose- American Indian or Alaska Native Asian Black or African American Hispanic/Latino of any race Multi-Racial Native Hawaiian or Other Pacific Islander White Prefer not to respond

Previous Education

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Other College Attended	(if applicable)
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Your Plans

High School Graduation Year:*	-Choose- 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940
When Will You Attend?*:	-Choose- Winter 2009 Fall 2009 Winter 2010 Fall 2010 Winter 2011 Fall 2011 Winter 2012 Fall 2012 Winter 2013 Fall 2013
How Did You Hear About Us?*:	-Choose- Alumni Art Teacher CCS Students College Catalog College Representative Guidance Counselor Portfolio Day Advertisement Portfolio Day Event Internet Family Member Friend Faculty Campus Event Radio Ad Detroit Auto Show Magazine CCS Mailing College Fair Counseling Office Staff CCS Publication Facebook MySpace Other Social Network
Major Area(s) You Wish to Study*:	(you must check one and may check more than one)
	Advertising Design
	Entertainment Arts          Character and Experimental Animation, Game Art, Video/Live Action
	Art Education
	Crafts         Art Furniture, Ceramics, Fiber Design, Glass, Metalsmithing and Jewelry Design
	Fine Arts         Painting, Print Media and Sculpture
	Graphic Design
	Illustration
	Interior Design
	Photography
	Product Design
	Transportation Design
	Post Degree Art Education – Teacher Certification Only

Communicating With You

How would you prefer to hear from us?*:	(Check all that apply)
	Text Messaging
	Email
	US Mail
	I would still like a hard copy of CCS' View Book. (Course descriptions can be found on our website.)
Are you a part of...?:	(Check all that apply)
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Would a parent or family member like postcards, emails, or text messages regarding the College for Creative Studies? (Check all that apply)*:
	No, my parent or family member would not like to receive this information
	Email - if yes, please provide parent or family member email address
	Text - if yes, please provide parent or family member cell phone
	Postcards