Name
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First Name
Last Name
Email
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example@example.com
Phone Number
I am a...
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Student
Parent
Teacher
Counselor
HOSA Member
HOSA Advisor
International Internship Program Student
International Internship Program Parent
Previous Summer Program Student
Previous Summer Program Parent
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Grade
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6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Not Applicable
School Name
*
What Would You Like To Be Contacted About?
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Criminal Law & Trial Internship
Advanced Law & Justice Reform Internship
International Leadership & Business Internship
Advanced Medical & Public Health Internship
Advanced Medical Neuroscience Internship
The National Security & Diplomacy Internship
Cybersecurity & Defense Internship
AI & Emerging Technology Internship
Middle School Jumpstart Program
The International Internship Program
Other
How Did You Hear About Us?
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HOSA
DECA
FBLA
Georgetown University
International Internship Program
LI Alumni / Past Participant
School Presentation or Announcement
School Counselor or Teacher
Web Search
Other
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