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* 1. Your Information (please include organization name)

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* 2. Please list the location(s) of your employees?

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* 3. How many of your employees in South Sudan are U.S. citizens?

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* 4. How many of your employees in South Sudan are not U.S. citizens?

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* 5. Please select the categories you have evacuated thus far (please select all that apply):

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* 6. Will you try to evacuate employees this week (select all that apply)?

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