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SWENext Interest Form
Please complete the following form if you are interested in participating in SWENext at the FAMU-FSU College of Engineering. For more information you can contact Dr. Shonda Bernadin (
bernadin@eng.famu.fsu.edu
)
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Student First and Last Name:
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Your answer
Age:
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Your answer
Current Grade:
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Your answer
Current School Attending:
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Your answer
Best Email Address:
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Your answer
Best Phone Number:
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Your answer
Race/Ethnicity:
Black/African-American
White/Caucasian
Hispanic/Latino
Asian
Native American/Pacific Islander
Other:
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Parent/Guardian First and Last Name:
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Your answer
Parent/Guardian Best Email Address:
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Your answer
Parent/Guardian Best Phone Number:
*
Your answer
Please check ALL that apply.
*
I want to join SWENext and learn more about how to become a female engineer.
I am not sure if I want to join SWENext. I need more information about the club.
I am a parent/educator. I know someone who may be interested. Please send me more information.
Other:
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