Project BEAM Middle School Academic Tutor Application

Personal Information

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* 1. Name

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* 2. Current Residential Address

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* 3. Phone number

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* 4. E-mail address

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* 5. Best contact method (check one)

E-mail

Phone

Text

Other (please specify)

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* 6. Best time to contact

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* 7. Gender

Male

Female

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* 8. College or Graduate School

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* 9. Major

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* 10. Current Year/Grade Level

Freshman

Sophomore

Junior

Senior

College Graduate (Bachelor's)

1st or 2nd Year Graduate

Continuing Graduate or Beyond

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* 11. Do you have Native Hawaiian genealogy?

Yes

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* 12. Do you have Pacific Islander genealogy?

Yes

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* 13. To what extent to you understand Native Hawaiian culture and values?

Not at all

Very little

Somewhat

A moderate extent

A great extent

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* 14. To what extent to you understand Pacific Island culture and values?

Not at all

Very little

Somewhat

A moderate extent

A great extent

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* 1. Name

Question Title

* 2. Current Residential Address

Question Title

* 3. Phone number

Question Title

* 4. E-mail address

Question Title

* 5. Best contact method (check one)

Question Title

* 6. Best time to contact

Question Title

* 7. Gender

Question Title

* 8. College or Graduate School

Question Title

* 9. Major

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* 10. Current Year/Grade Level

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* 11. Do you have Native Hawaiian genealogy?

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* 12. Do you have Pacific Islander genealogy?

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* 13. To what extent to you understand Native Hawaiian culture and values?

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* 14. To what extent to you understand Pacific Island culture and values?

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* 15. If you gradated already, what is your current job?