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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your cell phone number?

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* 4. What is your email address? This is needed to email you your username/password.

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* 5. What school do you attend? What is your grade level?

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* 6. Who is your guidance counselor?

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* 7. What course and semester do you need to take?

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* 8. What is your parent/guardian's full name?

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* 9. What is your parent/guardian's cell phone number?

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* 10. What is your parent/guardian's email address?

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* 11. What is your parent/guardian's home phone number?

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* 12. What is your parent/guardian's work phone number?

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