* 1. What is your preferred first name?

* 2. What is your preferred middle name?

* 3. What is your preferred last name?

* 4. Please give us your preferred pronunciation of your name.

* 5. Full name for certificate?

* 6. Which of the "Cs" do you attend?

* 7. Major(s)?

* 8. Minor(s)?

* 9. What is your favorite thing about the QRC/Queer community in Claremont?

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