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Student's First Name
Student's Last Name
Student's Date of Birth
Sex Listed on Student's Legal Documents
Does the student identify as Hispanic or Latino?
Student's Race (Select all that apply)
American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or other Pacific IslanderWhite
Student's Street Address
With a focus on equity and excellence and in alignment with the belief that diverse perspectives enrich understanding, the Illinois Mathematics and Science Academy is committed to advancing equity, specifically addressing racial, sex, and geographic-based gaps in STEM education. Thus, IMSA is requesting demographic information to promote our Equity and Excellence priority. Please contact the Office of Diversity, Equity and Inclusion, 630-907-5079 with related concerns or to request additional related information.