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* 1. Student Information:

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* 2. GPA:(2 decimal places)

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* 3. Name of College or University:

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* 4. Year in College:

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* 5. Project Name:

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* 6. Name of Faculty Advisor for This Project:

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* 7. Gender:

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* 8. Date of Birth (MM/DD/YYYY)

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* 9. Ethnicity (U.S. Census Bureau):

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* 10. Race (U.S. Census Bureau):
Students identifying as Hispanic or Latino may be of any race.

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* 11. Have you served in the United States Military Service?

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* 12. U.S. Citizen:

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* 13. Will you or your siblings be the first in your family to graduate from
college?

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* 14. Have you ever qualified for subsidized school lunch?

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* 15. Do you have a disability?

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