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<b><i>Evergreen Valley College Survey </i></b>
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<table border="2px" height="400px" width="650px">
<tr bgcolor="cyan">
<th></th>
<th>Personal information</th>
</tr>
<tr>
<th>Name:</th>
<td><textarea rows="1" cols="26"></textarea></td>
</tr>
<tr>
<th>Email:</th>
<td><textarea rows="1" cols="26"></textarea></td>
</tr>
<tr><th>Age:</th>
<td><input type="radio"><18
<input type="radio">18-25
<input type="radio">26-40
<input type="radio">41-65
<input type="radio">65+
</td>
</tr>
<tr bgcolor="orange">
<th></th>
<th>Academic Information</th>
</tr>
<tr><th>Goals:</th>
<td>Check all that apply
<br>
<input type="radio">Associat Degree
<input type="radio">Transfer to CSU
<input type="radio">Transfer to CU
<input type="radio">Personal Enrichment
</td>
</tr>
<tr>
<th>Field of study:</th>
<td>Select all that apply, hold CTRN when clicking to select multiple items
<br>
<textarea rows="6" cols="30">
Accounting
Astronomy
Business
Chemistry
Computer Information Systems
Health
</textarea>
</td>
</tr>
<tr>
<th>Comments:</th>
<td>
<textarea rows="6" cols="37"></textarea>
</td>
</tr>
<tr>
<td colspan="2">
<center>
<input type="submit" value="Send Data">
<input type="reset" value="Reset Data">
</center></td>
</tr>
</table>
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