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Undergraduate Campus Attending *
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Did you participate in the ASPIR2E Track 1 (PPIP) Program? If yes, what year? *
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Ethnicity and Race
Are you a Hispanic or Latino? (a person of Cuban, Mexican, Mexican American, Chicano/Chicana, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race) *
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Please select the racial category or categories with which you most closely identify. Check as many as apply. *
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Gender *
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Video/Photo Release. Please visit https://webforms.tamhsc.edu/view.php?id=937441 to complete the release form. *
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Additional preference may be given to applicants who are members of the groups listed below. Please check all that apply. *
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Have you completed all recommended course pre-requisites for ASPIR2E Track 2 (Bio I & II; Gen. Chem. I & II; O. Chem. I & II; and College Algebra or more advanced math course) *
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Must be between 250 and 300 words. Currently Entered: 0 words.
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Please read the following statements and indicate your agreement by checking each box. *
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I understand this is a legal representation of my signature.
Clear
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