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* 1. What is your first and last name?

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* 2. What is your email address?

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* 3. What grade are you in?

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* 4. What is the name of your high school?

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* 5. What is your state of residence?

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* 6. About how long have you been a SWENexter?

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* 7. Have you previously participated in a SWE or SWENext event?

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* 8. How did you learn about this event?

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* 9. Are you a SWENext award winner?

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* 10. Are you a SWENext Club President?

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* 11. Which field of engineering are you interested in? Select up to two options.

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* 12. On a scale of 1-5, with one being not at all, how confident are you with the following topics?

  1 (not at all confident) 2 3 4 5 (extremely confident)
Self-Management: Resilience, Career Pathways and STEMinism Resilience, Career Pathways and STEMinism 
STEM Career Pathways
Leadership Skills for College

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* 13. On a scale of 1-5, how familiar are you with the public safety sector?

1 (not at all familiar) 5 (very familiar)
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 14. What is your level of STEM-interest?

1 (not at all interested) 5 (very interested)
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i We adjusted the number you entered based on the slider’s scale.
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