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Ensino Fundamental
Ensino Médio Incompleto
Ensino Médio Completo
Superior Incompleto
Superior Completo
Mestrando
Mestrado Completo
Doutorando
Doutorado Completo
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Opção 1
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Sim
Não
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Nome
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Cidade/ Estado
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E-mail
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Data de Nascimento
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Facebook
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Skype
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Telefone
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RG e CPF
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Participa de algum coletivo/grupo/organização/instituição? Se sim, qual(is)?
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É integrante de algum Ponto Fora do Eixo? Se sim, há quanto tempo?
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Grau de escolaridade
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Áreas de Vivência
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Necessita de hospedagem durante o período da vivência?
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Conte sobre você
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O que te estimulou a se inscrever para esta vivencia? Quais são suas expectativas?
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