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First Name
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Middle Name or Initial
Last Name
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Are you currently enrolled in the UW Oshkosh MSE DEGREE PATHWAY
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Select
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High School email address
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Confirm High School email address
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Personal Email
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Personal Phone
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Ex: 5551231234
Work Phone
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Other Phone
Sex
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Male
Female
Intersex
Pronouns
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she/her
he/him
they/them
Eg: They/Them
Date of Birth
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mm/dd/yyyy
SSN
US SSN Eg: xxx-xx-xxxx
Home Address
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Do not enter symbols (e.g. #). You may include Apt, Unit, Box etc.
City
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State
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Zip/Postal Code
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Create Password or Passphrase
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Enter a strong password that is at least 8 characters
Retype Password or Passphrase
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Next: School and Course(s).
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