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Class:	Class 17: January to June Class 18: July to December
Name
Title
Company/School
Address Line 1
Address Line 2
City
State	Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip
Phone
Work/School Email
Personal Email
Area of Expertise:	Technology Sales/Marketing Finance Construction/Remodeling Auto Detailing/Maintenance Landscaping Food/Catering Transportation/Trucking Other, explain:
How did you hear about the advising program?
Notes/Questions