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Name: _____________________________ Code: ______ ______ ______ ______ 1. Email Address: ____________________________ Cell (optional) _____________________ 2. Will you be taking AP Statistics this year? Yes No 3. List extracurricular activities you are involved in this year (this includes student council, clubs, sports, theater, etc.) ___________________________________ ___________________________________ ____________________________________ ___________________________________ 4. Do you have a person in your family with a psychology
background? Yes
No Is that person a:
(a) psychologist (b) psychiatrist (c) social worker
(d) other ______________
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