Practicum Questionnaire
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What is your legal name? *
Do you have a preferred name?
What is your Rutgers email address? *
What is your Rutgers username? *
What is your Rutgers Net ID? *
What are your preferred pronouns? *
What is your grade level? *
What is your declared major? *
Do you have a tech insecurities? (check all that apply) *
Required
Do you need extra support in this class? (learning disability, mental health disability, physical disability, food insecurity, or anything else?)
Is there anything else you’d like me to know?
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