General Info

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* 1. Name

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* 2. Email

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* 3. Location (city, state, and campus if Applicable)

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* 4. Race/Ethnicity

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* 5. Gender

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* 6. Age

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* 7. If you weren’t born in the United States, where were you born and when did you immigrate to the U.S.?

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* 8. Please check any of the following that apply, or leave blank

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* 9. Are you affected by the Higher Education Act Reauthorization?

The Reauthorization will affect:

People who are planning to have their debt forgiven through government service programs like Peace Corps or Americorps

People on income based repayment plans for federal loans

People who have subsidized loans, which don’t accumulate interest while they are in school

People who attend(ed) a for profit college

If you will be affected, how?

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