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EPIC Freshman Questionnaire 2024
Hello Incoming Freshman!
Please answer the following questions so that we can match you up with a mentor in our program.
* Indicates required question
Email
*
Your email
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Parent Email Address
*
Your answer
Sex of student
*
Male
Female
Parent Phone Number
*
Your answer
Can this phone number receive text messages?
*
Yes
No
Student Email Address
Your answer
Student Phone Number
Your answer
Can this phone number receive text messages?
Yes
No
Clear selection
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
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