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* 1. PLEASE NOTE that when you finish this survey, you will see a message from Survey Monkey.  If you see this message, you will have completed the form correctly.  There is no confirmation page for this survey.

What is your full name (first and last)?

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* 2. I am a:

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* 3. For the summer program, I will be:

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* 4. As of right now, I have the following plans for the 4th of July (Wednesday 7/4):

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* 5. I am requesting the following course for Summer 2018.  Please note that classes are assigned on a first-come, first-served basis.  Course descriptions are available in the packet that you were mailed.  You may assume that you were given your first choice unless you are otherwise notified.

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* 6. PASSPORT STUDENTS, please SKIP this question.  SUMMER HAWK students only, would you like to be enrolled in a section of College Success this summer?  This is a non-credit bearing course on study skills and on the resources available at our university.

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