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* 1. Name

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* 2. Professional Affiliation

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

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

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* 5. Email

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* 6. Preferred Telephone

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* 7. Judging Level Preference

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

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