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Name of Applicant * First Last
This is the name of the potential student
Applicant's Date of Birth MM / DD / YYYY
The Upper age limit for Applicants is 18
Gender and nationality of Applicant *
Last Grade Completed? *

If the applicant was not in a school using the American system, please enter the last level completed.
Name and Address of Last School Attended
Name of Parent or Guardian * Title First Last Suffix
Parent's Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

One or both parents/Guardian must reside in Ghana
Parent's Phone Number *
Parent's Emai Address *
Parent's Sponsoring Company or Organization
Do Not Fill This Out

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