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Enrollment Verification

Student Information

(first, middle, and last)
(###-###-####)
(Double check your email address.  You will be sent an email verification of our receipt of this form when you submit.) This question requires a valid email address.
Please select your current Degree/Program at Central.
학교에서 진행하는 과정을 선택하시길 바랍니다.
Please input your current residential address in the U.S.
미국에 거주하시는 주소를 적어주시길 바랍니다.

If your address has changed since the last update, please complete the CHANGE OF ADDRESS form.
주소가 변경이 되셨으면 CHANGE OF ADDRESS form을 작성하여주시길 바랍니다
6. Are you an F-1 visa student? *This question is required.