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| First Name: |
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| Last Name: |
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| Address: |
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| City: |
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| Highest Level of Education:
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| Are you or have you ever been in the military?
Or are you immediately related to someone in the military? |
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I understand that I will be contacted by a representative from Jones International
University. I agree to be called at the telephone number(s) provided even if I have
previously listed myself, or such number is listed by default, on any federal, state,
trade association or corporate Do-Not-Call Registry
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