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FULL NAME *

GENDER *

DATE OF BIRTH *

EMAIL *

PHONE *

ADDRESS *

HIGHEST LEVEL OF EDUCATION COMPLETED *

CURRENT SCHOOL OR INSTITUTION and MAJOR *

Why are you interested in participating in the ADVANCE program? *

What are your personal and professional goals for the future? *

HOW DO YOU ENVISION THIS PROGRAM HELPING YOUR ACHIEVE THOSE GOALS? *

WHAT ARE SOME OF YOUR STRENGTHS AND WEAKNESSES? *

How do you typically handle challenges or setbacks in your life? *

HOW DO YOUR PERSONAL VALUES ALLIGN WITH THE MISSION AND VALUES ADVANCE? *

PLEASE PROVIDE THE NAMES AND CONTACT INFORMATION OF TWO REFERENCES WHO CAN SPEAK TO YOUR CHARACTER, WORK ETHIC, OR COMMUNITY INVOLVEMENT. *

Is there anything else you would like us to know about you that is not covered in this application? *

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