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* 1. First Name

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* 2. Last Name

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* 3. Email
Note, if you provide your student email the address is @stu.hostos.cuny.edu

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* 4. CUNY EMPLID

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* 5. Gender

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* 6. Race

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* 7. Ethnicity

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* 8. Major

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* 9. How many semesters have you been at Hostos?

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* 10. Are you in ASAP?

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* 11. How did you hear about BMI TEAM?
Check all that apply.

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