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* 1. What is your name?

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* 2. Please write your library and contact information

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* 3. When would you like to request a YALSA training? Please list a few dates to give us flexibility with scheduling

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* 4. How long of a YALSA training would you like?

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* 5. Please list the names and libraries of the people who wish to attend this training.

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* 6. Where would you like this training to be held?

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* 7. Please write any questions or comments about the YALSA training program that you have.

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