* I am a...
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* What state are you a resident of?
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* My gender is:
My age is:
My marital status is:
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* Right now, I am in this year of school:
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* I am a...
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My GPA is:
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HIGH SCHOOL STUDENTS ONLY: What high school are you attending or recently graduated from?
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* The college I am attending is a ...
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What college/university are you attending or planning on attending?
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* What is your major/area of study?
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Are you of any of these ethnic or cultural backgrounds?
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Do you speak any of these non-English languages?
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Do you have any of these disabilities/illnesses?
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Are you a member of any of these churches or religious faiths?
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Do you, or your parents, work in any of these professions?
I work in this profession...
My parent(s) work in this profession...
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Do you, or your parents, work for any of these companies?
I work for this company ...
My parent(s) work for this company...
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Are you, or your parents, a member of any of these Labor Unions?
I am a member of this Union...
My parent(s) are member(s) of this Union...
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Are you, or your parents, a member of any of these organizations?
I am a member of this organization...
My parent(s) are member(s) of this organization...
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Have you, or your parents, any military service?
I am active in I am a veteran of
this branch of the military:
My parent(s) are active in My parent(s) are a veteran of
this branch of the military:
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Are you, or your parents, a member of any of these sororities/fraternities?
I am a member of...
My parent(s) are member(s) of...
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Do you participate in any of these sports?
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Do any of the following miscellaneous activities and situations apply to you?
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