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Polytechnic Institute 9169 Coors Rd. NW Albuquerque, NM 87184 (505) 346-2354 or (505) 346-2356 Applicant Name: (Please Print Name) ***Students must be 18 years old to reside in dorms and carry 12 credit hours*** Residential Lodge Request Period: Year Spring Summer Fall New Student: Re-Admitted Student: , Last Year Attend SIPI: Personal Information: Male (Golden Eagle): Fem.

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