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Your Gender *
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Are you a current EIU employee? *
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Their Gender
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Are they a current EIU employee?
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Do you smoke at home? *
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Would you be interested in being paired with more than one student? Often we have more students than community members sign up for this program. *
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Would you accept a student who smokes? *
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Do you have a preference in the gender of your student(s)?
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