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First Name

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Introduction

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Ethnic Background

White/CaucasianBlack/African AmericanHispanic/LatinoAsian/Asian AmericanNative AmericanPacific IslanderAny racial/ethnic backgroundOther

Religion

African Traditional & DiasporicAgnosticAtheistBaha'iBuddhismCao DaiChinese traditional religionChristianityHinduismIslamJainismJucheJudaismNeo-PaganismNon-religiousRastafarianismSecularShintoSikhismSpiritismTenrikyoUnitarian-UniversalismZoroastrianismPrimal-indigenousOther

Speaks (check all that apply)

• English
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Occupation

Education

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