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What is your name?
   
 
 
 
When will you graduate?
   
 
 
 
What is/are your major(s)/minor(s)?
   
 
 
 
What other organizations within Smith are you involved with?
   
 
 
 
What organizations outside of Smith are you involved in?
   
 
 
 
Where did you go to high school? (for the sake of our high school pipeline)
   
 
 
 
What makes you diverse? How can you add value to DEC and the Smith Community?
   
 
 
 
Please list your phone number, e-mail address and any other contact information you would like to provide:
   
 
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