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* 1. What is your job title/role?

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* 2. What is the name of the organisation you work/volunteer for?

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* 3. What do you hope to get out of this course?

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* 4. What plans do you have once you've completed this course?

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* 5. What commitment will you make to your community upon completing this course?

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* 6. How prepared are you to be a contributor to the PFSEA community group online?

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* 7. Your name

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* 8. Your email address

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