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CSTEP Exit Interview
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First Name
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Last Name
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Date of Birth
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MM
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DD
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YYYY
Permanent Address:
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Home Phone
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Cell Phone
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Permanent e-mail address (not your Binghamton University email address)
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Enrollment in other Opportunity Programs
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EOP
Liberty Partnership
LSAMP
McNair Scholar
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STEP
Diversifying Coding (D-Coding)
Watson College Scholars Program
Smart Energy
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