Student Information and Demographics

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* 1. What is your Gender Identification?

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* 2. Please Indicate your race / ethnicity.

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* 3. Please indicate your birth date.

Date

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* 4. Please enter your middle initial.

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* 5. Please indicate the school that you are currently attending.

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* 6. Please indicate the grade that you are currently in.

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* 7. What extracurricular activities do you participate in?

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