Amnesty Ireland Activist Leadership Group Application

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* 1. Name

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* 2. What county do you live in?

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* 3. Email address

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* 4. Phone number

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* 5. Date of birth

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* 6. Are you a student? If yes please specify where you study.

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* 7. Have you been involved with Amnesty International before? If yes please explain.

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* 8. Tell us about yourself and your interests.

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* 9. What do you hope to contribute to the activism leadership
group? For example skills, experience, knowledge, or whatever you think will make this group great!

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* 10. What is your preferred time and day of the week to join a
monthly meeting?

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