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|  |  | | What is your date of birth? | 
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|  |  | | What is your class level? | 
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|  |  | |  |  |  * What is global citizenship? |  |  |  |  | 
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|  |  | | Which of the following most accurately describes you? | 
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|  |  | | What religion were you raised in? | 
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|  |  | | What religion do you consider yourself? | 
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|  |  | | What ethnicity do you identify as (Select all that apply)? | 
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|  |  | | Before coming to college, what type of area did you live in? | 
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| | Please assess the following statements: | 
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|  |  | |  |  |  * What do you feel are the most pressing global issues and why? |  |  |  |  | 
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| | How often do you participate in the following? | 
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|  |  | |  |  |  * Are there any ways you act as a global citizen at home? Explain. |  |  |  |  | 
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|  |  | | Did you serve in the community when you were a high school student? 
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|  |  | | If you did serve during high school, please indicate your primary reason for serving. 
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|  |  | | How many hours per month did you serve in high school, on average? | 
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|  |  | | Are you currently serving in the community? 
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|  |  | | How many hours per month do you currently serve, on average? 
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|  |  | | If you are currently serving, please indicate your primary reason for serving. 
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| | What educational level did your parents reach? | 
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|  |  | | What is your family's household income? | 
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|  |  | |  |  |  * What are two specific ways you are a responsible global citizen? |  |  |  |  | 
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|  |  | | Before high school, what type of area did you live in? | 
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|  |  | |  |  |  * Is there anything you would like to say about the things this survey asked you? |  |  |  |  | 
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|  |  | |  |  |  * Was there anything on the survey that you had questions about? |  |  |  |  | 
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