Sinclair2MSJ Connections Scholars Application

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I am a current Sinclair student

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Connections Scholar Applicant

Sinclair ID

Current Sinclair major

Anticipated Sinclair Graduation Year

First Name

Middle Name

Last Name

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

May we text you?

Yes

No

Cell Phone (required if you would like to receive text messages)

Home Phone

I am a prospective:
Adult Transfer I have been out of high school for 4 or more years and have attended college.
Transfer I have attended college and been out of high school less than 4 years.

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What semester do you plan to enroll?

What MSJ major are you interested in?

Are you interested in this program on-campus or online/virtual?

Have you attended any other colleges or universities other than Sinclair?

Yes

No

By submitting this form I give my permission to Sinclair to release my enrollment status, earned hours, and GPA to Mount St. Joseph University.

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Sinclair2MSJ Connections Scholars Application