Personal Information:
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| First Name: |
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| Last Name: |
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| Birthday (MM/DD/YYYY): |
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| Email: |
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| Cell Number: |
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| Gender: |
Male
Female
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Permanent Address:
If your address is not in the US, provide it in the extra comments section.
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| Street: |
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| City: |
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| State: |
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| Zip: |
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School Information:
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| High School Name: |
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| Grade Level: |
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Program Information:
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I'm interested in shadowing someone studying:
If equally interested in several or unsure, explain in the comment box below.
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| I'm interested in shadowing a: |
Freshman
Sophomore
Junior
Senior
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I will be visiting on:
Enter Date, Time if applicable
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| Are you interested in staying with a student overnight? |
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Are you bringing guests? |
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| If yes, how many? |
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| If yes, will your guests be shadowing with you? |
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Do you need parking arrangements? |
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Extra comments, arrangements, interests, etc.
Include if you are interested in seeing/hearing about private certified housing or special programs like iFoundry.
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Background