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Project BEAM Middle School Academic Tutor Application
Personal Information
*
1.
Name
(Required.)
*
2.
Current Residential Address
(Required.)
3.
Phone number
*
4.
E-mail address
(Required.)
*
5.
Best contact method (check one)
(Required.)
E-mail
Phone
Text
Other (please specify)
*
6.
Best time to contact
(Required.)
*
7.
Gender
(Required.)
Male
Female
*
8.
College or Graduate School
(Required.)
*
9.
Major
(Required.)
*
10.
Current Year/Grade Level
(Required.)
Freshman
Sophomore
Junior
Senior
College Graduate (Bachelor's)
1st or 2nd Year Graduate
Continuing Graduate or Beyond
*
11.
Do you have Native Hawaiian genealogy?
(Required.)
Yes
No
*
12.
Do you have Pacific Islander genealogy?
(Required.)
Yes
No
*
13.
To what extent to you understand Native Hawaiian culture and values?
(Required.)
Not at all
Very little
Somewhat
A moderate extent
A great extent
*
14.
To what extent to you understand Pacific Island culture and values?
(Required.)
Not at all
Very little
Somewhat
A moderate extent
A great extent
15.
If you gradated already, what is your current job?
Current Progress,
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