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1. What is your first name? (Required.)

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2. What is your last name? (Required.)

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3. In what year did you graduate from high school? (Required.)

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4. List any colleges, universities or other educational institutions that you attended after high school in order of attendance.

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5. What major did you first declare in college?

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6. If you changed your major while in college, what is your current major?

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7. Have you participated in any scientific research since graduating from high school? If so, please describe your experience(s).

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8. Please list any special awards or honors that you have received since high school.

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9. Have you received any college degrees or certificates since graduating from high school? If so, please list below:

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10. What are your plans for next year? If you have graduated and are working full time, please describe your position. (Required.)

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11. What version(s) of the TIME program did you participate in while in high school? (Required.)

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12. Did your experiences in the TIME program help you in any way with your college studies? If so, please describe.

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13. Do you think that the TIME program should continue to be offered in the future? Why or why not? (Required.)

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14. What is your email address? We would love to stay in touch!

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