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* 1. Last Name:

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* 2. First Name:

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* 4. What was your strongest intelligence on the Multiple Intelligences Survey?

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* 5. What was your second strongest intelligence on the Multiple Intelligences Survey?

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* 7. What are your Top 3 interests outside of school?

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* 9. Which of the following clubs would you be most interested in joining? (Check All That Apply)

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* 10. Which clubs are your currently a member of? (Check All That Apply)

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