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Race (select all that apply):
American Indian/Alaskan Native (Origins in any of original peoples of North America, and who maintains Cultural identification through tribal affiliation or community recognition)
Asian (Original Peoples of the Far East, Southeast Asia or the Indian Subcontinent such as China, India, Japan, & Korea)
Black/African American (Origins in any of the black racial groups of Africa)
Native Hawaiian/Other Pacific Islander (Origins in any of original peoples of the Pacific Islands such as Philippine Islands, Samoa, and Hawaii)
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