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Citizenship:

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Academic Interests:

	Biology	Biotechnology
	Environmental Science	Biology Secondary Education

I'm a(n):

	...a high school student.YesNo
	If yes, expected graduation date: (mm/dd/yy)
	...a Calvin Student. YesNo
	If yes, inteded graduation date:(mm/dd/yy)
	...a Calvin Alum. YesNo
	...Other (please specify)

Would you like departmental information? Yes No

Would you like a departmental DVD? YesNo