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STUDENT INFORMATION

Please complete and submit this form.
 
First Name
Last Name
Current Address
City
State
Zip Code
Home Phone Number
Skills USA Member

Graduation Semester

(i.e. Fall)

Graduation Year

(i.e. 2004)
Cell Phone Number
Email Address
Home Town Phone Number
Home Town Address
Home Town City
Home Town State
Home Town Zip Code
Parent's Names
Major


 
South Plains College
Automotive Service Technology
1401 S. College Avenue
Levelland, TX 79336
gham@southplainscollege.edu