Student Connection
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Name
*
Email
*
This address will receive a confirmation email
Phone
*
Major
*
Anticipated graduation year
*
Family Email for Newsletter
*
Family Email for Newsletter
*
Home Address for mailings ( 4 a year)
*
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IN
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LA
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MB
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MI
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MP
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MT
NB
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NE
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NL
NM
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NT
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ON
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PA
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QC
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SC
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SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birthday ( for a sweet treat from Wesley)
*
Why is Wesley Important to you?
*
Favorite event and why?
*
Favorite memory with Wesley?
*
What is one thing that would be important for others to know about Wesley ?
*
A photo you would be ok with Wesley using for a newsletter
*
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