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* 1. What is your name?

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* 2. Where do you go to high school?

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* 3.  What gender do you identify with?

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* 4. What is your race? Select all that apply.

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* 5. Are you of Hispanic origin?

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* 6. What is your home zip code?

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* 7. I know what I want my life to look like 10 years from now and can describe it in detail.

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* 8. I know what the annual cost will be to me to support this lifestyle.

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* 9. I know what type of work I am suited for.

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* 10. I know what education will be required to do this work and support my lifestyle.

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* 11. I know what type of work I would like to do in my life.

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* 12. I am enrolled in a high school course that relates to my future plans.

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* 13. I will pursue a college course or non-college training that relates to my future plans.

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