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* 1. What is your first and last name?

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* 2. What is your email address?

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* 3. What is your phone number?

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* 4. Which high school do you attend?

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* 5. What is your grade level?

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* 6. What is your GPA?

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* 7. Which extracurricular activities do you participate in? (In and out of school)

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* 8. What do you hope to gain from the Miss Black Pasadena experience?

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* 9. Please provide a parent/ guardian name AND email.

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* 10. Would you prefer in person or virtual workshops?

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