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SOAR LLI (Society of Active Retirees)
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In order for SOAR to pursue external funding, we need to know more about our participants as a whole. Please complete the following questions. This information is CONFIDENTIAL and will be used for statistical purposes, reported in the aggregate only. If you do not wish to answer a specific question, just leave it blank. We appreciate your cooperation.

Login Info

Required fields are denoted by *--. You are in the Login Info section. Continue to tab below to start reading or entering your information.
Must contain an uppercase, three lowercase, a digit and a non-alphanumeric character (e.g. $ @ # %). Example "Abbbxx1#".

Personal Info

Required fields are denoted by *--. You are in the Personal Info section. Continue to tab below to start reading or entering your information.
* What best describes your relationship to this account?
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Gender
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Age Range(Optional)
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* Class Schedule Delivery Preference(How would you like to receive your class schedule?)
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Primary Address

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Emergency Contact

Required fields are denoted by *--. You are in the Emergency Contact section. Continue to tab below to start reading or entering your information.

Statistical Form

Required fields are denoted by *--. You are in the Statistical Form section. Continue to tab below to start reading or entering your information.
Ethnicity
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Civil Status
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Annual Household Gross Income
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Number of People in Household
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Educational Background(degree is not a pre-requisite for SOAR membership)
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Former Occupation
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How did you learn about SOAR?
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SOAR LLI (Society of Active Retirees)
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