HELP "College/Grad School" Student Introduction Survey
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First Name *
Last Name *
Email *
Confirm Email *
Gender *
Ethnicity *
City of Residence *
State of Residence (use 2 letter abbreviation) *
Zip Code *
Phone number (ex. 301.803.0100)
Status? *
Undergraduate college/university you attend or graduated from? *
Graduate/professional university you attend or graduated from? *
Student Classification *
Current GPA *
How did you hear about HELP? *
Please use this space to briefly inform HELP of your particular situation and how you think HELP can assist you. (You will be asked to explain in detail below) *
You have completed the HELP Initial (College & Grad) Student Info Survey, but we need a little more information before we are able to HELP you! Please click on eack item below to make sure you know what to send and email us the information we ask for in 1-email to *
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