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Student Interest Form
Please complete this confidential form if you are a UMD student and interested in becoming a member of Fostering Terp Success. Once received, our staff will contact you via email to discuss the next steps.
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* Indicates required question
First Name:
*
Your answer
Last Name:
*
Your answer
University ID number (UID):
*
Your answer
Email:
*
Your answer
Phone:
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Class Year
*
Choose
First-Year
Sophomore
Junior
Senior
Preferred Pronouns:
*
she/her/hers
he/him/his
they/them/theirs
Other:
Required
Please select all that apply:
I have experience in foster care.
I am homeless or at risk of becoming homeless.
I am unaccompanied/have no network of family support.
Please tell us how you heard about Fostering Terp Success and provide us with more information about your interest in participating in the program:
*
Your answer
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