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* 1. First name:

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* 2. Last name

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* 3. Organization/Employer

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* 4. E-mail address

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* 5. I will be at the volunteer walk-through Wednesday, December 2, 2015 at 11:30am.

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* 6. I'm available to assist with preparing participant packets and other conference prep on Sunday, December 6, 2015, from 3:00pm to 7:00pm (light dinner will be provided)

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* 7. I am able to volunteer all day Monday, December 7, 2015

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* 8. I am able to volunteer all day Tuesday, December 8, 2015

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* 9. I am able to volunteer all day Wednesday, December 9, 2015

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* 10. I am attending the Conference as a participant and would be available to volunteer if needed

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* 11. I am not able to volunteer at this time, but would like to remain on the Training and Technical Assistance Committee of MHSA

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* 12. Additional comments or questions:

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