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* 1. First Name

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* 2. Last Name

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* 3. Email address

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* 4. What is one word that best describes you? (optional)

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* 5. Phone number (*requested in case of rescheduling for inclement weather)

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* 6. Affiliation (optional)

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* 7. I am:

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* 8. I will attend the CWPPP - GLPP Networking Night on Monday, February 12 from 5 to 7 pm at the UMass Club, 1 Beacon Street, Boston (32nd floor).

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* 9. I will attend the Gender, Leadership, and Public Policy graduate certificate / MPA-GLPP track info session on Monday, February 12 from 4 to 5 pm at the UMass Club, 1 Beacon Street, Boston (32nd floor).

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* 10. I will be bringing a guest with me to the CWPPP Networking Night.

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* 11. Would you be interested in learning more about the Gender, Leadership and Public Policy (GLPP) graduate certificate or Master of Public Administration-GLPP track?

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