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REGISTRATION
Application
College Name: Florida Central Tech
I am applying for the term beginning:
Possible Major
Possible Career Plans
Payment Information
Are you applying for a counselor approved fee waiver?
Yes
No
Are you applying for financial aid?
Yes
No
If you are applying fo financial aid, when did/ will you file the appropriate form(s) (FAFSA, CSS Profile, etc.)?
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required
Personal Information
Legal Name
Date of Birth
Legal Sex
Male
Female
Gender Identify
Social Security Number (optional)
Email
Marital Status
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
Country
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