V-State Experience - Duval County

Saturday, January 18, 2025 at 4:00 PMEastern Standard Time UTC -05:00

Hyatt Place Jacksonville / St. Johns Town Center
4742 Town Center Pkwy
Jacksonville, FL 32246
United States

Student Information

First Name

Last Name

Student Email Address

Parent/Guardian Email Address

Cell Phone Number

Mailing Address

Country

Street

City

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Postal Code

Birthdate

Number of Guests
(Not including the student)

Academic Information

Student Type

Intended Entry Term

Primary Academic Interest

Most Recently Attended School