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* 1. Name

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* 2. UTSW Email Address

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* 3. My primary role at UTSW

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* 4. My work focus is primarily:

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* 5. Department:

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* 6. My question falls into the general category of:

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* 7. My question for the Campus Address, or topic that I would like to hear more about:

Thank you very much! 

Please join us at the virtual State of the Campus Address and open forum with senior leadership, where we will make every effort to cover as many of your topics and questions as possible. 


Tuesday, September 21st
Noon - 1 p.m. 

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