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* 1. Name

* 2. Professional Affiliation

* 3. Educational Background (Please indicate your highest level of education)

* 4. Address (Please include street, city, state, and zip code)

* 5. Email

* 6. Preferred Telephone

* 7. Judging Level Preference

* 8. Assignment Preferences (Indicate first (1), second (2), third (3) choices)

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