Take Stock in Children program - Current Student Contact information
Please complete the questions to update your information with Take Stock!
Email address *
Student's Full Name *
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Student's Current School *
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Are you in any of the following programs at your school? Check which ones apply to you.
Grade *
Student's Current Career Goal *
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Home Address *
Your answer
City *
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Zip Code *
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Home Phone number
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Student Cell Phone Number
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Parent/Guardian Name *
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Parent/Guardian Phone Number *
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Parent Guardian email address
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Additional Parent/Guardian Name
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Parent/Guardian Employer (if currently employed)
Your answer
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