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Name (as on your ID):
full e-mail address:
Graduation year:
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Country of Citizenship:
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Proof of
citizenship:
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Person to notify in case....:
Relationship:
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Her/his
phone numbers....
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Have you traveled outside
the US before?
where?
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Have you
flown before?
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What do you not eat?
Please be specific.
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How much
money are you taking?
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Are you anticipating any
rough spots?
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Anything
else to tell me, anything I should know?
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What medications are you
taking? (confidential, of course)
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Any chronic
conditions? (confidential, of course)
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