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Personal Information

Basic Information

First Name*

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DOB*

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Are you Hispanic?

Are you currently Active duty, a Veteran, a Member of the National Guard, or a Reservist in the United States Armed Forces?

Birchwood University is allowed by law to request and use the social security number according to federal and state guidelines. While you are not required to provide your social security number, you are encouraged to do so. Your SSN is required for financial aid, educational tax benefits, and possible other purposes. This information may be disclosed only under certain circumstances.

Enrollment Information

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