Contact information

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* 1. Contact information

What is your occupation?

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* 2. What is your occupation?

Please check all categories that apply to you:

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* 3. Please check all categories that apply to you:

Overall, what are your ideas and thoughts regarding health and sexuality education within public schools?

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* 4. Overall, what are your ideas and thoughts regarding health and sexuality education within public schools?

Why are you interested in serving on this committee?

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* 5. Why are you interested in serving on this committee?

What specific issues do you believe this committee should address?

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* 6. What specific issues do you believe this committee should address?

What background, past experiences, knowledge, expertise etc do you have that may assist this committee?

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* 7. What background, past experiences, knowledge, expertise etc do you have that may assist this committee?

Are you willing to attend 4-6 evening meetings per year during a two-year period?

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* 8. Are you willing to attend 4-6 evening meetings per year during a two-year period?

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