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* What is your current student/professional status?

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* What type of career do you plan on pursuing? (Check all that apply)

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* Please rank the following APA opportunities that you would like to see more of (1 being your top choice):

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* Other, please type your answer in the textbox below.

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* Please select one or more of the following concerns as they apply to you.

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* Please rank the following topics as you consider should be the focus of Dr. Puente’s APA presidential platform in helping APA Student Affiliates (1 being your top choice):

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* Other, please type your answer in the textbox below.

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* Do you have any other comments, questions, or concerns?

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