Net Buddy Intake
  1. First Name
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  2. Last Name
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  3. Nickname
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  4. Street
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  5. City
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  6. State/Province
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  7. Zip
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  8. Country
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  9. Meaning of Name
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  10. Country of Birth
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  11. Date of Birth (MM/DD/YYYY)(*)
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  12. Birth Order
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  13. Gender(*)
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  14. NGO
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  15.  
  1. Mobile
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  2. Skype ID
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  3. FaceBook ID
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  4. Twitter
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  5. Linked In
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  6. First Career Choice
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  7. Second Career Choice
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  8. 3 Words that describe NB
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  9. 3 Words that do not Describe NB
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  10. Languages Spoken
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  11. Other Languages Spoken
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  12.  
  1. Has Baseline Access To
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  2. Baseline Computer Literacy
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  3. Uses Cell Phone for
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  4. No cellphone access:Does it matter? Why?
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  5. Uses Computer for
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  6. No computer access: Does it matter? Why?
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  7. Uses Internet for
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  8. No Internet access: Does it matter? Why?
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  9. Uses Tablet for
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  10. No tablet access: Does it matter? Why?
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  11. Net Buddy gets information for school and homework from
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  12. SW/HW-Please specify
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  13.  
  1. Net Buddy gets information for about higher education from
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  2. HEd-Please specify
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  3. Net Buddy gets information for about future careers from
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  4. FC-Please specify
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  5. Net Buddy gets information for about other teen opportunities from
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  6. Ops Y-Please specify
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  7.  
  1. School
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  2. Education Grade / Level
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  3. Education level as of (MM/DD/YYYY)
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  4. Preferred Study Subjects
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  5. Challenging Study Subjects
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  6. Post-Matric Plans
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  7. PM Y-Please specify
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