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    Misericordia University Young Scholars Application Form (2022-2023)

    Complete the form below to apply to Misericordia University's Young Scholars program. If you have any questions please contact Jeff Demko in the Center for Adult and Continuing Education at jdemko@misericordia.edu or 1-570-674-3020.

    *Denotes a Required Field
    Student Information
    Student Birthdate*
    Student Birthdate*
    Student Contact Information
    Student Mailing Address*
    Student Mailing Address*
    Student Permanent Address*
    Student Permanent Address*
    Current Academic Information
    Program Information