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As part of the Astronaut Scholarship application process, we must complete a demographic information form on each campus applicant. Please complete the following form to provide us with the necessary information to enter your details into the Astronaut Scholarship portal.
First Name
Last Name
Academic status for the upcoming fall semester:
Junior
Senior
Your current age:
Gender
Male
Female
Rather not Disclose
Other
If you answered "Other" above, please specify:
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Rather not Disclose
Race
American Indian or Native American
Asian
Black or African American
Native Hawaiin or Other Pacific Islander
White
Rather not Disclose
Your major/field of study:
Your main research area:
Your expected graduation date:
Your STEM department/academic program:
Are you related to any faculty/staff on KU's campus?
No
Yes
If you answered "yes" above, in what department does your relative work?
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