Men About Progress - Registration Form

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1313 Arts & Sciences

First and Last name *

Banner (student ID) number? *

What is the best email to contact you? *

Phone Number? *

Street Address? *

Are you a First Generation College Student (neither parent completed a college degree or certificate) *

Yes

Maybe

What is your race? *

Black or African American

Asian

Native American (American Indian), Alaska Native, Native Hawaiian or Other Pacific Islander

White

Biracial

Prefer not to answer

Other:

Required

Are you Hispanic/Latinx? *

Yes

Prefer not to say

What is your gender? *

Male

Female

Trans/Non-Binary/Agender

Prefer not to say

Other:

What term did you begin at LCC? *

What is your major? *

What is your educational goal? *

Associate degree

Certificate

College Transfer

High School Completion

Why do you want to be a member of MAP? *

Submit

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