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I identify as (check all that apply, one response per row):
Choose ONE item per row as applicable 
HispanicNon-HispanicN/A
 
 
 
 
 
 
 
 
 
 
 

I am:

Please check all that apply:


 

What is your CURRENT class level (as of Fall, 2017)?

Please indicate your educational status (check all that apply): 

Please indicate your degree plans (check all that apply):

How many hours per week do you work during the academic year?

How many hours per week do you VOLUNTEER during the academic year?

Choose HIGHEST level of education attempted and completed for the following people:
      Elementary School Middle School High School Community College (2 year degree) Four year university (BA, BS) Graduate School (MA, MS, MBA) Professional (MD, PhD, JD, EdD) Other
   
   
   
   
   
   
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