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Are you a current Lambda Chapter member of ADG?
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No
First and Last Name
Were you previously, or are you currently part of the foster care system?
Yes
No
Please list any of your academic achievements in the last 12 months, specifically state: description of why you were recognized and the date of recognition.
Please list any leadership roles, extra curricular activities and/or community service in the last 12 months, specifically state: name, location and description of activity or organization; your title/role and description of involvement; and dates of participation.
Please list your nationality/ethnicity, list all that apply.
African American
Alaskan Native
American Indian
Asian
Caucasian
Central American
Chinese
Croatian
Cuban American
Czech
Japanese
Korean
Latino Other
Lithuanian
Mexican American
Native Hawaiian
Filipino
Puerto Rican
Slavic
South American
Other
To select multiple items, hold control or command and click each one.
If you selected Central American, Latino Other, South American or Other above, please specify.
Are you a first generation College Student (your parents did not complete a college degree)?
Yes
No
Were you raised in a single parent household?
Yes
No
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