High school name:

High school address:

address2:

City: State: Zip: \

High School Phone Number:

High School Fax Number:

High School Web address:

Counselor's Name:

Phone:

Fax Number:

E-mail:

Approximate number of Students attending your High School currently:

Approximate number of graduating Seniors you have in 2006:

Approximate number of students you/your department counsels concerning college enrollment per year:

Approximate number of students you counsel who are interested in Christian Colleges, Universities or Seminaries:

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