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Have you previously attended Lake Land College?
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If yes, what year did you attend?
*First Name
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Provide Home Country of Origin
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*Last High School Attended
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List ALL colleges/universities attended or now attending write “none” if you have never attended a college/university
Name
City
State
Name
City
State
Name
City
State
Highest Degree Earned
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Have you resided in the Lake Land College District for at least the immediate past 30 days?
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If you recently moved (less than 30 days) into this community college district to establish permanent residency for reasons other than attending Lake Land College, please specify reason for move
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NDP.CTDT
Commercial Driving License Training
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I understand that withholding information requested on this application, or giving false information, may make me ineligible for admission to the College or subject to dismissal. With this in mind, I certify that the above statements are correct and complete.
*What is the current 4-digit year? (ex. 2022)
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