All individuals in a position to control the content of this AUGS activity must complete this form

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* Name of Person in Control of Planning or Content:

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* Email:

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* AUGS Program:

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* Date of Activity (MM/DD/YY):

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* Role(s) of Person in Planning or Implementation of the Activity (indicate all that apply): (planner, activity director, AUGS staff, AUGS contractor, presenter, author, content reviewer, other (specify):

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