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University of Nebraska–Lincoln

UNL
EE&O
Advanced Scholars
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Advanced Scholars

Online College Courses for High School Students

Request Information

Required fields are marked with a red asterisk *

First Name*:	MI:	Last Name*:
Gender: Male Female

Address 1*:
City*
State*:
ZIP Code*:
Phone:
E-mail*:

How would you prefer to be contacted?	Phone E-mail

Who Are You?*: (select all that apply)
I am a student I am a parent/guardian I am a school guidance counselor/adviser I am a school principal or administrator I am (or will be) a proctor Other, please explain

What high school are you associated with?*

What is your primary reason for contacting us?* (select all that apply) I want to earn college credit early Personal enrichment or challenge I plan to attend UNL I’m interested in online courses My local school doesn’t offer the course(s) I have a scheduling conflict Other, please specify:

How did you hear about the Advanced Scholars program?* (select all that apply) Advertisement Brochure Direct Mail Referred by someone: Conference or information session Web/Internet search Other, please specify:

Please send me information about other educational opportunities from the University of Nebraska-Lincoln: (select all that apply) Independent Study High School College Independent Study Summer Independent Study (distance option for undergraduate students in the Lincoln area) UNL Undergraduate Admissions Graduate Distance Degrees, including Masters, Doctoral and Certificate programs

Additional Questions or Comments: