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First name
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Last name
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Address
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City
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State
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Zip
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Daytime phone number
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Email address
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What year(s) did you run with SRLA?
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What high school did you attend?
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What year did you graduate high school?
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Did you attend college or university?
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Yes |
No |
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If so, where?
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If so, when did you graduate?
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If so, what degree did you earn?
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If so, in what subject?
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Did you attend a trade school?
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Yes |
No |
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If so, where?
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If so, whenn did you finish?
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If so, what degree or certificate did you receive?
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Did you serve in the military?
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Yes |
No |
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If so, in what branch?
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If so, during what time period?
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If so, what rank did you attain?
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What other schooling have you had?
(Please describe what type, where, and when)
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Are you currently employed?
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Yes |
No |
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If so, who is your employer?
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If so, how long have you been employed there?
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If so, what is your job title?
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Do you still run?
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Yes |
No |
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Would you like to receive our newsletter?
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Yes |
No |
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Would you be interested in volunteering for future SRLA events?
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Yes |
No |
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Would you be interested in attending an alumni reunion?
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Yes |
No |
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Have you run the LA Marathon since you left SRLA?
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Yes |
No |
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If so, how many times?
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