RCAC Student Ambassador Program Reporting Form: Santa Rita High School
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First, Middle and Last Name *
Grade Level
Date of Birth
Month, Day, and Year
MM
/
DD
/
YYYY
Gender *
Ethnicity *
If you are a registered member of a Native American tribe; what is your tribal affiliation?
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Do You Participate in the Free and Reduced Lunch Program at school? *
Address
City, State, and Zip Code
Phone Number *
Email Address *
College Going Checklist *
Required
Notes on Visit
FAFSA Completion *
Post-Secondary Intentions *
What do you plan to do after you graduate from high school?
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