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* 1. Do you plan to attend the GPILS Awards Ceremony on Tuesday, November 13, 2012 at 4 pm in the HSF II Auditorium?

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* 2. Do you plan to attend the reception that will be held in the HSF II lobby following the award ceremony?

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* 3. Please let us know with which GPILS Program(s) you are associated.

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* 4. Please provide your university email address.

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