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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your expected year of graduation?

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* 4. What is your current year in high school?

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* 5. What is your date of birth?

Date

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* 6. What is your email address?

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* 7. Please enter the best phone number to reach you.

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* 8. Type of phone number entered in previous question.

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* 9. Contact information

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* 10. Please enter your parent/guardian name(s).

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* 11. What is the best email address for us to reach your parent/guardian?

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* 12. Please enter the best phone number to reach your parent/guardian.

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* 13. What school do you attend?

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* 14. Have you taken the ACT or SAT?

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* 15. Would you be interested in a virtual test prep course to help prepare you for the ACT or SAT?

T