2021 #CAP HBCU Virtual College & Financial Aid Fair Student Registration Form
Alpha Kappa Alpha Sorority, Incorporated® | Eta Alpha Omega Chapter | Rock Hill, SC
Student's Information
Please complete with the Prospective Student's information.
Student's Name
*
First Name
Last Name
Student's Phone Number
*
-
Area Code
Phone Number
Student's Email Address
*
example@example.com
Student's Date Of Birth:
*
-
Month
-
Day
Year
Date
Student's Gender:
Male
Female
Student's Grade Level
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9th Grade (Freshmen)
10th Grade (Sophomore)
11th Grade (Junior)
12th Grade (Senior)
Other
Student's High School
*
City & State of High School
*
Parent/Guardian Information
Please enter the student's Parent/Guardian's contact information.
Parent/Guardian's Name
*
First Name
Last Name
Parent/Guardian's Phone Number
-
Area Code
Phone Number
Parent/Guardian's Email
*
example@example.com
General Student Academic Information
This information will be beneficial and shared with the College Representatives regarding your interest.
Current Grade Point Average (GPA):
Do you participate in a College Preparatory program (e.g., Magnet, Honors, etc.?)
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Yes
No
Have you completed Dual Enrollment Courses (Courses with a college while enrolled in HS?)
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Yes
No
If yes, please list all colleges you have received credit from:
Have you completed AP Courses (Advanced Placement?)
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Yes
No
If yes, please list all the courses you have received AP credit from:
What type(s) of college are you interested in? (Choose all options that apply):
*
4-Year College
2- Year College
Technical College
2-Year College and then transfer to a 4-Year College
Type Career Interests (Select all that apply):
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Agriculture, Food Processing & Natural Resources
Architecture, Industrial Design, CAD
Audio/Visual Technology Management & Administration
Business Management, Process Management, Human Resources
Business Office Administration/Support Services
Communications
Education, Training, Library Science
Engineering, Mathematics, Research/Science (STEM)
Finance, Banking, Accounting
Government, Public Administration, Planning, Transportation,Distribution & Logistics
Health Science (Medicine, Dentistry, Nursing, Pharmacy)
Hospitality & Tourism
Human Services (e.g., Social Work, Psychology, Counseling)
Information Technology, Computer Science
Law
Marketing, Advertising, Promotion
Military Services (e.g., Army, Marines, Navy, or Reserves)
Performing & Fine Arts, Graphic Design, Fashion Design
Public Safety, Corrections & Security
Sales
Vocational: (e.g., Automotive, Cosmetology, Construction,Industrial Trades, Technician)
Other
Any additional information you would like to share?:
What topics or information would you like to learn more about regarding college?
Information Regarding the Virtual College Fair
During the fair, we will have breakout rooms for you to hear more information from the College Representative.
ROUND 1: Please choose which Admissions Representative or Financial Aid Representative you're interested in virtually visiting during this round.
*
Allen University (Columbia, SC)
Benedict College (Columbia, SC)
Clinton College (Rock Hill, SC)
Fayetteville State University (Fayetteville, NC)
Johnson C. Smith University (Charlotte, NC)
Southern University (Baton Rouge, LA)
Financial Aid: "Where Da Money At?"
ROUND 2: Please choose which Admissions Representative or Financial Aid Representative you're interested in virtually visiting during this round.
*
Allen University (Columbia, SC)
Benedict College (Columbia, SC)
Clinton College (Rock Hill, SC)
Fayetteville State University (Fayetteville, NC)
Johnson C. Smith University (Charlotte, NC)
Southern University (Baton Rouge, LA)
Financial Aid: "Where Da Money At?"
ROUND 3: Please choose which Admissions Representative or Financial Aid Representative you're interested in virtually visiting during this round.
*
Allen University (Columbia, SC)
Benedict College (Columbia, SC)
Clinton College (Rock Hill, SC)
Fayetteville State University (Fayetteville, NC)
Johnson C. Smith University (Charlotte, NC)
Southern University (Baton Rouge, LA)
Financial Aid: "Where Da Money At?"
Submit
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