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1. Please provide your email and phone number.

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2. What is your name?

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3. Where do you live and work?

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4. What is your gender?

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5. Where and when did you complete your undergraduate degree?

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6. What was your undergraduate major/course of study?

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7. Which of the following best describes your academic performance as an undergraduate student?

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8. Please describe your work experience over the past 5 years - include companies, positions with dates, and responsibilities.

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9. Tell us a bit about what you do outside of work. This can include any significant volunteer work, sports, community involvement, etc.

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