Latinas in Progress

Please provide your first and last name

Please provide an email address

What LIP Chapter do you belong to? Select ... Arlington Austin Corpus Christi Dallas Ft. Worth Houston RGV San Antonio

How did you hear about HWNT LIP?

What is your ethnicity?

First Language

Name of High School

Grade Level Select ... Freshman Sophmore Junior Senior

Do you receive free/reduced lunch? Select ... Yes No

Expected Graduation Date

What is your current GPA?

Are you a first generation High School student? Select ... Yes No

Highest Education Level of Mother Select ... Elementary Middle School High School Bachelor Degree Masters Degree or higher

Highest Education Level of Father Select ... Elementary Middle School High School Bachelors Degree Masters Degree or higher

Any other family members in LIP? Select ... Yes No

Have you or your parents had help establishing a checking or savings account? Select ... Yes No

Have you or your parents had help establishing a savings account for college? Select ... Yes No

Do you work? Select ... Yes No

Please provide your position, how many hours a week you work and what days.

Please list Extracurricular Activities you are involved in: If none type N/A

What do you plan on majoring in College? (Business, Engineering, Education, Etc...)

Future Career Interest?

If you have a college or university that you would like to attend, What is the name?

Have you been on a college campus? Select ... Yes No

What is your greatest challenge or obstacle that could prohibit you from attending college?

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