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Illuminate Collective - Application

Let's start with your contact details

First name

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Last name

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Preferred name

Memorial Email Address

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Memorial Student ID Number

*

With which gender(s) do you identify?

*

*Collected only for the purposes of determining eligibility, and for tracking our progress toward gender equality. For Illuminate eligibility, the applicant must identify in one of the following categories: cis-woman, trans-woman, trans-man, non-binary, or other marginalized gender.

What are your preferred pronouns?

*

Academic Status

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Expected Graduation (Term)

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Expected Graduation (Year)

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Faculty

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Major

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Are you an international student?

*