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* 1. What is your preferred first name?

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* 2. What is your preferred middle name?

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* 3. What is your preferred last name?

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* 4. Please give us your preferred pronunciation of your name.

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* 5. Full name for certificate?

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* 6. Which of the "Cs" do you attend?

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* 7. Major(s)?

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* 8. Minor(s)?

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* 9. What is your favorite thing about the QRC/Queer community in Claremont?

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