2015-2016 Alumni Survey

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* 1. First Name

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* 2. Last Name (& Maiden Name, if married)

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* 3. Email Address *Make sure to fill out for chance to win $25 Visa gift card!

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* 4. Phone Number

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* 5. What neighborhood do you live in now?

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* 6. Address (Address, City, State, Zip)

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* 7. Gender

Female

Male

Other

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* 8. Ethnicity

Black, Afro-Caribbean, or African American

Latino or Hispanic American

East Asian or Asian American

South Asian or Indian American

Middle Eastern or Arab American

Native American or Alaskan Native

Caucasian or Euro-American

Multiracial

Other

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* 9. How many years were you involved in Free Spirit Media?

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* 10. Which Free Spirit Media program(s) were you involved with?

Arts Infusion

Flash Forward internship

FSM News South

FSM News West

Free Spirit PRO

HoopsHIGH

In-School Course - Digital Media

In-School Course - Senior Documentary

Real Chi Youth

The Chicago Track

Youth Council

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* 11. What high school did you attend?

North Lawndale College Prep - Christiana

North Lawndale College Prep - Collins

Powerhouse High School / DRW Trading Prep

Gary Comer College Prep

Other (please specify)

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* 12. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree

If you have completed high school or equivalent, what year did you receive your diploma or GED?