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Scholars Information Request
Scholars Information Request
Contact Information
*Indicates a required field.
First Name
Last Name
uNID
(e.g. u0123456)
Email
Phone Number
(xxx-xxx-xxxx)
Expected graduation semester
Spring
Summer
Fall
Expected graduation year
Select Year:
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
-----------------
--- Not Applicable ---
How did you hear about the Bennion Scholars program?
Select all that apply.
Tabling
Poster
Classroom presentation
Group presentation
Friend
Academic advisor
Bennion Center website
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Other
Other
Major
Any specific questions you want answered?
Last Updated: 1/24/20
