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Rise Up & Achieve Student Application

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This form will help collect information on how to better serve and support students who participate. This information will be used to help support all initiatives, funding for resources, and programming to offer all student participants.

Basic Info
Name
Contact Info
Race/Ethnicity
Primary Language
What is your current gender identity? Please select one or use the write-in option.
Family and Household Info
Do you have children?
Household Income
Mother's Highest Degree Completed
Father's Highest Degree Completed
Are you a current/former foster dependent?
More About You
Are you interested in any leadership opportunities (student employment, committees, professional development)?
Please select the student engagement groups you are interested in learning more more about or participating in throughout the academic year.
Shirt Size
Dietary Restrictions
Availability

What is your availability for attending events this semester?

Monday Availability
Tuesday Availability
Wednesday Availability
Thursday Availability
Friday Availability
Transfer