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* 1. Your name:

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* 2. Your job title:

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* 3. Your college or district office:

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* 4. Your email address:

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* 5. Your phone number:

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* 6. In 1-2 paragraphs, please describe your experience with research, planning and/or assessment.

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* 7. Please provide one paragraph describing what you believe it will take to embed research into community college decision-making and reform efforts.

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* 8. Please provide one paragraph on the activities that you would seek to do as an RP Group board member.

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