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* 1. What is your name?

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* 2. What city do you live in?

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* 3. What school do you go to?

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* 4. What grade will you be in for fall 2021?

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* 5. Are you eligible for free or reduced lunch?

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* 6. What week 1 topics are you interested in?

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* 7. What week 2 topics are you interested in?

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* 8. What week 3 topics are you interested in?

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* 9. What week 4 topics are you interested in?

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* 10. What Email is best to send your scholarship coupon code to? 

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