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* 1. Family Name

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* 2. First Name

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* 3. Middle Name(s)

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* 4. Preferred Name

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* 5. Degree Objective

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* 6. Full name of degree program at Harvard

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* 7. Name of school at Harvard (i.e. Kennedy School, Business School, GSD, T.H. Chan School, School of Engineering...)

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* 8. Major Field of Study

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* 9. Specialization

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* 10. Primary Email

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* 11. Alternate/Secondary Email

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* 12. Birthdate

Date

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* 13. Place of Birth

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* 14. Sex

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* 15. Preferred Gender Identity

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* 16. Marital Status (le PACS n'est pas reconnu aux États-Unis)

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* 17. French citizenship (eligibility requirement)

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* 18. Additional Countries of Citizenship

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* 19. Do you have US Citizenship?

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* 20. Country of Permanent Residence

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* 21. Proposed Length of Stay in the US (in months)

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* 22. Cell Phone Number

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* 23. Current/Most Recent Academic Institution (do not translate)

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* 24. Location of current/most recent institution

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* 25. Actual name of current degree program OR most recent degree obtained (do not translate)

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* 26. Permanent Address

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* 27. Current Mailing Address

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