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City Phone Home State Cell Zip code E-Mail Address most used Date of Birth // Status in the U.S. Check ONLY one Gender 1-Male 2-Female U.S. Citizen Yes No Permanent Resident attach a copy of your Permanent Residency Card Yes No Non-U.S. Citizen Country of Citizenship If you are in the U.S. on an F1visa you are ineligible for Project SPARK Ethnicity If more than one race check all that apply 1-American Indian or Alaskan Native 5-Caucasian/White Non-Hispanic 6-Native Hawaiian or other...
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