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Child Care Child Care Resource and Referral College Child Care/Lab School College or University Consultant Early Head Start Elementary or Secondary School Family Child Care Head Start Head Start Super Grantee Home Visiting Military Child Care Other Parent Parent Education Private Preschool School District State Agency State-Funded Pre-K Teen Parenting Training Organization

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What is your mother's maiden name? What is your father's middle name? What is your mother's middle name? What city/town were you born in? What year did you graduate from high school? What is your maternal grandmother's first name? What is your maternal grandfather's first name? What is your paternal grandmother's first name? What is your paternal grandfather's first name? What is the name of the high school you graduated from? What is your first pet's name? What street did you grow up on?

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What is your mother's maiden name? What is your father's middle name? What is your mother's middle name? What city/town were you born in? What year did you graduate from high school? What is your maternal grandmother's first name? What is your maternal grandfather's first name? What is your paternal grandmother's first name? What is your paternal grandfather's first name? What is the name of the high school you graduated from? What is your first pet's name? What street did you grow up on?

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