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Are you a US citizen?
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Are you a Permanent Resident?: If you are a permanent resident, Melanie-Claire Mallison will reach out with instructions to securely provide a copy of your green card
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Country of Citizenship
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Gender: (optional)
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Ethnicity: (optional)
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White/Caucasian
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American Indian or Alaska Native
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Black or African American
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Asian
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Native Hawaiian or Pacific Islander
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Enrolled Institution
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Number of Students
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Highest degree offered
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Field of Study
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Present Class
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GPA
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Do you have research experience?
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Please provide the name and supervisor of your research program
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Please provide the name and supervisor for a second research program, if applicable
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Academic Advisor Name and Email
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Expected Graduation Date
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Last day of spring classes and exams