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* 1. What is your name? 
Please include your first and last name

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* 2. Please select the improvements below that apply to you:

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* 3. Where are you working or going to school?

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* 4. When did you start?
If you are not sure of the exact date, please estimate a start date.

Date

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* 5. How much are you currently earning per paycheck?
If you aren't sure of an exact amount, please estimate as best you can.

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* 6. Do you get paid every week or every two weeks?

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* 7. Are you working or attending school full time or part time?

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* 8. Is there anything else you would like to share with your teacher about your new opportunity? 

T