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Age:
   
 
 
 
Gender:
 
Male
 
Female
 
Transgender
 
 
 
Race/Ethnicity
   
 
 
 
LGBTQ?
 
Yes
 
No
 
 
 
How would you describe your economic background?
 
Lower Class
 
Lower Middle Class
 
Middle Class
 
Upper Middle Class
 
Upper Class
 
 
 
Where did you obtain your undergraduate degree?
   
 
 
 
What was your major?
   
 
 
 
Program:
 
- Two-Year
 
OYR
 
Advanced Standing
 
Dual degree with Bank Street
 
Accelerated Full-Time
 
Accelerated One-Year
 
Other (please specify)
 
 
 
 
Year:
 
1st
 
2nd
 
3rd
 
Other (please specify)
 
 
 
 
Advanced Concentration:
 
Clinical Practice with Individuals, Families, and Groups
 
Group Work
 
Community Organizing, Planning, and Development
 
Organizational Management and Leadership
 
N/A