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* 1. For which day are you applying?

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* 2. What is your full name?

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* 3. What is your email address?

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* 4. What is your cell phone number?

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* 5. What is your home phone number?

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* 6. How old are you?

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* 7. What City You Live In?

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* 8. Who is your employer?

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* 9. What is your job title or position?

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* 10. What is your gender?

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* 11. What is your race?

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* 12. What is your political affiliation?

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* 13. If it was up to you to decide the next President of the United States, who would you choose?

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* 14. Who is your favorite previous President of the United States?

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* 15. Do you have children?

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* 16. What is your marital status?

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* 17. What is your highest educational level?

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* 18. Are you a US Citizen?

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* 19. Have you ever served in the Armed Forces?

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* 20. What is your total family income?

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* 21. Have you ever been a party to a lawsuit (other than divorce)?

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