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* 1. What is your first name?

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* 2. What is your last name?

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* 3. At what email address would you like to be contacted?

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* 4. Level or grade in school this Spring?

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* 5. Why are you interested in concussions?

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* 6. What would you like to do this summer involving concussions?

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* 7. Explain in a few sentences what your project would be or what you would like to accomplish.

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* 8. Would you like to connect with other interns and possibly work on a group project?

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* 9. Anything else you would like to share?

Thank you for your interest! For more information, please see www.PinkConcussions.com.

We will be reading all the entries and picking the finalists in a few weeks. We hope to have companies sponsor each intern so we can offer more internships this summer.

Katherine Snedaker, MSW
Concussion Mental Health Expert
Mom of two sons with concussions
Double digit concussions from sports, auto accidents and a life well lived

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