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1. In what year were you born? (enter 4-digit birth year; for example, 1976) (Required.)

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2. What is your gender? (Required.)

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3. In what state or U.S. territory do you live? (Required.)

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4. Are you currently employeed?
 (Required.)

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5. What is the highest level of education you have completed? (Required.)

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6. Are you currently serving, or have you ever served in the United States military? (Required.)

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7. Please enter the best phone number to contact you for a 30 minute interview. (Required.)

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8. Please indicate a 30 minute time on Wednesday, Oct 23, 24th or 25th between 10 am and 4 pm when you would like to be interviewed.

You will receive a confirmation e-mail when your interview is scheduled. (Required.)

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9. Please enter your email address. (Required.)

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