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* 1. Name and contact information

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* 2. Are you a member of the ASCEND Group?

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* 3. Are you interested in volunteering with the ASCEND Group?

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* 4. Do you want to serve as a board member or on a committee?

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* 5. If you're interested in serving on the board, what skills or experience can you offer the ASCEND Group? Please be specific.

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* 6. Are you able to help with any of the following roles?

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* 7. If you're interested in serving on a committee, what are your specific areas of interest?

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