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First Name:
Last Name:
KU or Permanent Email Address:
Are you of Spanish, Hispanic, or Latino origin?
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No
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Choose one or more races that you consider yourself to be
White or Caucasian
Black or African American
American Indian/Native American or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Other
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Gender:
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Non-binary / third gender
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What is your Zip Code?
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