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General Interest Registration Form
A member of our staff will reach out to you to see if you are a good fit for any of our projects and answer any questions you may have
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Last Name
Gender
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Date Of Birth
Email
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Selected Site
Ethnicity
Do you consider yourself Hispanic/Latino or not Hispanic/Latino?
Hispanic or Latino
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Race
(Velocity values diversity, please consider providing additional information so we may ensure all populations are represented in this valuable research)
Which of the following five racial designations best describes you? More than one choice is acceptable.
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American Indian or Alaskan Native
Asian
Black or African American
White or Caucasian
Native Hawaiian or Other Pacific Islander
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