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* 1. STUDENT LEGAL NAME

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* 2. GENDER

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* 3. ETHNIC INDICATOR - HISPANIC/LATINO 

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* 4. RACE

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* 5. DATE OF BIRTH

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* 6. CELL PHONE NUMBER

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* 7. PERSONAL E-MAIL ADDRESS

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* 8. SCHOOL E-MAIL ADDRESS

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* 9. PARENT/GUARDIAN FULL NAME

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* 10. PARENT/GUARDIAN CELL PHONE NUMBER

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* 11. PARENT/GUARDIAN E-MAIL ADDRESS

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* 12. HOME ADDRESS, CITY, STATE, ZIP CODE

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* 13. DID EITHER OF YOUR PARENTS GRADUATE FROM A FOUR-YEAR COLLEGE/UNIVERSITY?

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* 14. CURRENT TEAMMATES CHAPTER (Community or School District)?

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* 15. POST-SECONDARY SCHOOL you are attending or plan to attend 

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* 16. INTENDED MAJOR

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* 17. CURRENT ASPIRATIONS/FUTURE PLANS

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