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* 1. First Name

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* 2. Last Name

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* 3. Which best describes your role or interest in Manufacturing Day?

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* 4. Phone (Mobile Preferred)

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* 5. Email

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* 6. Which program interests you?

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* 7. Have you completed FAFSA?

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* 8. Which best describes you?

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* 9. Tell us about yourself or include any questions you have that can help us serve you better and connect you with program information.

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