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* 1. What is your full name? 

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* 2. What is your email?

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* 3. What is your year of study?

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* 4. Do you have someone you'd like to be a site leader with? If so, who?

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* 5. Do you have a preference of where your site is located? Select all that apply

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* 6. Do you have any particular needs that may impact which site you should be assigned to? If comfortable, please specify (answers will be used only to assign locations and will otherwise remain confidential).

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* 7. Do you have First Aid and/or Mental Health First Aid training? Please specify

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* 8. What is your T-shirt size?

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* 9. Are you able to pay the $15 for your Shinerama shirt?

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* 10. Do you have any other questions, comments, concerns? If you're also interested in being a Shine car, please indicate here. 

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