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* 1. What is your full name? (First and Last)

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* 2. What is your email address?

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* 3. What is your location? (City, State)

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* 4. What is your ethnicity?

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* 5. What is your race?

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* 6. How many kids do you have?

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* 7. How old are they?

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* 8. What level of engagement are you currently interested in? (Multiple selections available)

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* 9. Please list any skills or talent you’d be interested in offering to MWLWL.

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