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STEM Membership Form

STEM Membership Form

Student G# *

Please include the capital G in your G#

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Name *

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Cell Phone Number

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Would you like to receive text reminders? *

Yes

No

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Preferred E-mail Address *

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Ethnicity/Race *

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Multi-race

Prefer Not to Specify

Other

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What is your major at CSM?

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What is your educational goal at CSM?

Transfer to a 4-Year University

Associates Degree or Certificate

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Are you eligible to receive financial aid?

Yes

No

Not Sure

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