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	GET: If you're a high school senior in need of a laptop for college, you've come to the right place! Our "Click to Succeed" program is looking for students in need. If you qualify for assistance, we are here to help. Please fill out the form below and our staff will be in touch. first name last name phone number (    )  addresss 1 addresss 2 city   state  choose   AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA VI WA WV WI WY  zip  sex  Male  Female school college attending financial aid, scholarships GPA and school rank SAT score courses this year extracurricular activities academic honors, prizes, positions of leadership in your school or other forms of recognition received.   describe any work experience (if applicable)   which activities are most important to you and why?   Essay One: Whether you've had a little or a lot of exposure to technology, specifically computers, what impact has it had on you? Positive or negative? Why?   Essay Two: How do you think technology will affect your future career?
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