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* 1. First Name

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* 2. Last Name

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* 3. What is your email address?

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* 4. What is a cell phone number where we can reach you?

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* 5. What campus do you attend?

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* 6. Do you have access to a computer, laptop, or tablet you can use at home?

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* 7. Do you have Internet access at home?

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* 8. Can you get to a Frenship campus near you to access WIFI from our designated parking lots?  Please see our website for a current listing of campuses.

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* 9. Any additional information you would like to share?

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