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CSN Tobacco-Free Support Card
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* Indicates required question
Name:
Nombre:
*
Your answer
I support a tobacco-free College of Southern Nevada!
¡Yo apoyo un Colegio del Sur de Nevada libre de tabaco!
*
Yes/Sí
No/No
Don’t Know/Not Sure/No lo sé/No estoy seguro
Please mark the one that fits you best:
Por favor, marque con el que más se relaciona:
*
Student/Estudiante
Faculty/Profesor
Administration/Administración
Staff/Personal
Alumni/Exalumno
Visitor/Visitante
Please mark the one that fits you best:
Por favor, marque con el que más se relaciona:
*
17 years old & younger/17 años o menos
18-24 years old/18-24 años
25-34 years old/25-30 años
35-44 years old/31-40 años
44-54 years old/44-54 años
55-64 years old/55-65 años
65-74 years old/65-74 años
75 years old & over/75 años o más
Comments:
Comentarios:
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