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* 1. First Name

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* 2. Last Name

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* 3. Phone Number

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* 4. Email Address

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* 5. Why are you interested in becoming a member of the Lifelong Learning Advisory Committee?

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* 6. What would you like to see the Lifelong Learning program at College of DuPage accomplish?

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* 7. What abilities, skills or knowledge can you bring to this committee?

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* 8. Do you belong to any other organizations or committees? If so, what is your role?

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* 9. Than you for your interest in the Lifelong Learning Advisory Committee! Please include any additional information you would like to share below.

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