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* 1. Name

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* 3. Phone

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* 4. Street Address

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* 5. Zip Code

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* 6. What district do you live in?

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* 7. My current career, job, or area of study is:

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* 8. Please share current employer, job title or school and major.

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* 9. Membership is a three-year commitment. Board members are required to attend monthy meetings (primarily on zoom) along with special events and programs across the year. Attendance is tracked. Missing meetings can mean dismissal. Are you able to commit to steady participation?

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* 10. Why are you interested in joining ACCAD?

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* 11. What skills and/or perspectives you bring:

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* 12. Please share what community organizations and/or boards where you are already a member.

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* 13. Please share more about yourself.

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