KBG-Alpha Nu Interest Survey

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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. At what email address would you like to be contacted?

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* 4. At what phone number would you like to be contacted?

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* 5. Are you enrolled at The University of Kentucky?

Yes

No

Not yet, but I have been accepted for next semester

Other (please specify)