* 1. Student Information

* 4. What is your gender?

* 5. What is your race? (Check all that apply):

* 6. What is your citizenship status?

* 7. What is your lunch status?

* 8. What year is your graduating class?

* 9. Are you a part of any of the following programs? (Check all that apply):

* 10. Do you play sports at your school?

* 11. Would you like to play sports at the collegiate level?

* 12. Are you considering UT Austin as one of your college options?

* 13. Who is your primary contact?

* 14. Do you live with your primary contact?

* 15. Primary Contact Information

* 16. What is your primary contact's annual income?

* 17. What is the highest grade completed by your primary contact?

* 18. Who is your secondary contact?

* 19. Do you live with your secondary contact?

* 20. Secondary Contact Information

* 21. What is the highest grade completed by your secondary contact?

* 22. What is your secondary contact's annual income?

* 23. Please select who you would like us to contact in case of emergency:

* 24. Family Data: Please indicate the total number of immediate family members (include yourself, your parents, your brothers and sisters).

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