Student Information

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* 1. Student Information

What is your gender?

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* 4. What is your gender?

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

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

What is your citizenship status?

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* 6. What is your citizenship status?

What is your lunch status?

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* 7. What is your lunch status?

What year is your graduating class?

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* 8. What year is your graduating class?

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

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

Do you play sports at your school?

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* 10. Do you play sports at your school?

Would you like to play sports at the collegiate level?

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

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

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

Who is your primary contact?

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* 13. Who is your primary contact?

Do you live with your primary contact?

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* 14. Do you live with your primary contact?

Primary Contact Information

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* 15. Primary Contact Information

What is your primary contact's annual income?

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

What is the highest grade completed by your primary contact?

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

Who is your secondary contact?

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* 18. Who is your secondary contact?

Do you live with your secondary contact?

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* 19. Do you live with your secondary contact?

Secondary Contact Information

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* 20. Secondary Contact Information

What is the highest grade completed by your secondary contact?

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

What is your secondary contact's annual income?

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

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

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

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

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

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