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* 1. Please fill in your first and last name.

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* 2. What is your gender?

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* 3. What grade are you currently in?

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* 4. What high school do you attend?

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* 5. What are your plans after graduating high school?

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* 6. Please rank the topics you would like to explore during a ReadySTAR two week program. (1 greatest - 4 least)

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* 7. Do you have another career area you would like to explore that is not mentioned above? Please use comment box below to share your interest.

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