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Gender

  • Female
  • Male

Race (Choose one or more)

  • White
  • Native Hawaiian or Other Pacific Islander
  • Black or African American
  • Asian
  • American Indian or Alaska Native

Ethnicity

  • Not Hispanic/Latino
  • Hispanic/Latino

Citizenship Status

  • US Citizen
  • Nonresident Alien
  • Resident Alien

Veteran

  • No
  • Yes

Active Duty

  • No
  • Yes

National Guard

  • No
  • Yes

Reserves

  • No
  • Yes

Veteran/Active Duty or Spouse/Dependent of Veteran Active Duty who has suffered a service related injury/illness.

  • No
  • Yes

Spouse/Dependent of Veteran who is deceased.

  • No
  • Yes

Spouse/Dependent of Veteran/Active Duty member. 

  • No
  • Yes

Are you planning on using Veteran benefits?

  • No
  • Yes

Do you reside outside of the United States?

  • Yes
  • No
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State of Institution Institution Last Year of Attendance Name of Institution