Open Scale Registration Information (Lake Havasu Students)

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This form collects personal information to be submitted to ASU Open Scale via ASU@Lake Havasu partnership for creation of your ASURITE (ASU identification). The information in this form is personal and private and will only be shared with ASU and your high school.

Last Name *

First Name *

Middle Name

Birth Date (ex. 01/01/2001) *

Age

Student Email (this is where you will receive ASURITE and Open Scale information) *

Phone number *

Street Address *

City *

State *

Zip Code *

Gender

Female

Male

Prefer not to say

Other:

Clear selection

Current School *

Expected Graduation Date (ex. May 2022) *

Submit

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