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See if you're eligible

See if you're eligible

See if you're eligible

See if you’re eligible!

Someone from the study team will reach out to you about the survey after you complete this form.

Name *

First Name

Last Name

Email *

Phone

(###)

###

####

Schools *

Select the school(s) you attended

Person County Learning Academy

Southern Middle School (Person County)

Northern Middle School

Person High School

Western Vance Secondary School

Eaton-Johnson Middle School

Henderson Middle School

North Vance High School

Southern Vance High School

Pickney Academy

Elise Middle School

Southern Middle School

Highfalls Elementary School

Westmoore Elementary School

New Century Middle School

West Pine Middle School

North Moore High School

Union Pines High School

Pinecrest High School

How did you hear about the study? *

Check all that apply

Thank you! Someone from the NC Life Study team will be in touch about next steps if you are determined to be eligible to participate.

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