Your Information
Your Name (required)
Your Age (required)
Gender (required) ---MaleFemale
Ethnicity (required)
Your Email (required)
Your Phone (required)
What school do you attend?
What are Your interest? TechnologySportsMusicFashionFilm
Instagram User Name
City
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General Information
What Is Your Favorite Fast Food?
What Toothpaste Do You Use?
What is Your Favorite Hair Care Product?
Do you eat breakfast before school begins?
Do you like POP, Rock, Hip Hop, RandB, Gospel or Afro Beats?
Do You have an Iphone or Android? ---AndroidIphone
What Is Your Favorite App?
AUTO (Optional -16 Years Or Older)
Are You Ready For Driving Lessons? ---YesNo
Do you use bluetooth in the car? Y or N: Do you stream MEDIA from QR Codes? Y or N
Do you own a Debit Card?
Do You Have a Savings Account? ---YesNo
Are you interested in building a Savings Account for Black History Year 2023? ---YesNo
