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Highest Level of Education Completed Select one... Middle School 9th Grade 10th Grade 11th Grade 12th Grade/HS Graduate GED Some College College Graduate

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Please indicate any college attendance Select one... Attending 2 year college Attending 4 year college Graduated 2 or 4 year college

Expected beginning term Select one... Summer 2013Fall 2013Spring 2014Summer 2014Fall 2014Spring 2015Summer 2015Fall 2015Spring 2016Summer 2016Fall 2016Spring 2017Summer 2017Fall 2017 Not sure

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How did you hear about Chesapeake College? Select One... Chesapeake College Website Internet search engine College Search Services Open House College Fair Alumni Current Student Friend Church Parents or Family High School Counselor Teacher Direct Mail Newspaper or Magazine Radio or TV Other

What is your level of interest in Chesapeake College? Select One... I intend to apply. I am not sure if I will apply. I am unfamiliar with your school.