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First name
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Street Address
City
State
Zip Code
County (i.e. Champaign)
Country (if not a U.S. resident)
Telephone
Email Address (required)
Gender:	Male        Female
Planned year of enrollment	--- 2008 2009 2010 2011   Semester --- Fall Spring Summer
Previous or current colleges attended
Name of Institution City, State, Zip Code
Name of Institution City, State, Zip Code
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Application Information
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Check the box next to the Urbana University Program of Studies and major of interest to you.

Adult Education Programs

    AA in Business
    BS in Business Management
    BS in Criminal Justice Leadership
    BS in Human Service Leadership

    BS in Healthcare Management
    BS in Nursing

Graduate Education Programs

     Master of Business Administration (Main Campus and Dayton location only)
    Master of Education in Classroom Teaching (Main Campus only)
    Post-Baccaluareate Teacher Licensure Program (Main Campus only)

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