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* 1. First Name

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* 2. Last Name

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* 3. What is your email?

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* 4. What is the best phone number to reach you?

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* 5. Please provide the name of your school and graduation year.

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* 6. Why are you interested in the C2C Pathways program?

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* 7. Would you be able to commit to the program from September 2021 to August 2021, meeting twice per week for a total commitment of 5 hours per week with one Saturday meeting per month?

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* 8. What fields are you interested in?

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* 9. What is your dream job?

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* 10. What do you hope to gain from the C2C Program?

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