Complete the survey to join our growing Slack community!

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* 1. First Name

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* 2. Last Name

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* 3. EMPLID

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

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* 5. Phone #

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* 6. Major

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

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* 8. Race

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* 9. Ethnicity

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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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* 12. What is the semester when submitting this form?

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