Help us help you! • Information about our customers helps us to better meet your needs. Student Registration First Name: Last Name: City: State: Zip: Gender: male female Race: Native American or Alaskan Native Asian Black or African American White Native Hawaiian or other Pacific Islander Ethnicity: Hispanic Origin Not of Hispanic Origin Business Status: Thinking about starting a Business Early Stages of a Business Startup Growing Business (operating for more than 2 years) OMB Approval No. 3245-0324 (Excerpts) Expiration Date: 09/30/2006
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