Are You Ready Survey

1. Please provide your first and last name.*
First Last
2. Please provide your birthdate*
Month
Day
Year
3. Please provide your phone number.*
4. Please provide your email address.*
5. Please provide your home address.*
Street Address Address Line 2 City State ZIP Code
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Are you a resident of Baltimore City?
- Yes
- No
"Scholarship opportunities through the Enoch Pratt Free Library are only available to Baltimore City residents. Please contact library@shcoe.org to learn about more options."
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Are you 19 years of age or older?
- Yes
- No