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With which racial group do you identify? (you may make multiple selections)

Please list your major(s):

Please list your current year in college:

What area of study are you interested in pursuing in graduate school?  Choose ALL areas that you are currently considering.

What are your housing plans during the PRIDE program (Maymester to Summer Session 1: May  15 to June 30)?   This information will help us to arrange participants' housing plans ahead.   If you are selected for PRIDE program, we will provide you housing during the program if you need.  

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