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Com Name last first middle Address street city/st/zip Birth Date Place of Birth Cell Phone EMAIL Yes No I attended high school in one of the following Iowa counties Des Moines Lee Henry or Louisa CIRCLE COUNTY My primary residence is in one of the following Iowa counties I will attend one of the following colleges or universities Southeastern Iowa Community College Iowa Wesleyan University University of Iowa Yes No The classroom credits I earn during the next school term will count...
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