Student Information

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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. Which college do you attend?

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* 4. What year are you in school? (i.e. freshman, sophomore, junior or senior)

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* 5. What is your personal email? (Please note that all future Strive emails and updates will be sent to this address.)

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* 6. What is your cell phone number? (example: xxx-xxx-xxxx)

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* 7. Please tell us in a few sentences why you want to join Strive for College:

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* 8. What activities, extracurriculars, awards and honors are you involved with?

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* 9. What is your cumulative GPA? (Out of 4.0 or 100)

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* 10. What did you score on the SAT? (Out of 2400)

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* 11. What did you score on the ACT? (Out of 36)

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* 12. Are you interested in a leadership position?

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* 13. I understand and agree that my services will be rendered free of any charge to Strive for College Collaborative. I grant Strive for College permission to collect personal and academic information, photos and quotes. Strive for College will only use this information internally to evaluate and improve its programs. Strive for College reserves the right to use pictures and quotes in promotional materials or on its website.

Do you understand Strive's conditions?

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