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Senior Survey

Please provide the requested information to the CSULB Upward Bound Program by filling out the Senior Survey. If you have any additional questions about the survey, contact us.

First Name
Last Name
High School
CSULB Identification Number
Phone Number	(10 digits only. Example: 5629851111)
Current Address
City
State
Zip Code
Email Address
Alternate Phone Number	(10 digits only. Example: 5629851111)
List the universities or colleges to which you are applying
List the scholarships for which you are applying
List your work information
List any sports or clubs of which you are a member and the number of times you weekly participated in practices, games and meetings

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