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* 1. Name

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* 2. Address

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* 3. Phone number

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* 4. Email address

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* 5. Academic Program you are currently enrolled in?

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* 6. Name and contact information for Academic Advisor or Program Director

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* 7. Anticipated graduation date (month/year)

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* 8. Current SCAN volunteer role

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* 9. Have you attended FNCE before? (yes/no)

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* 10. Why are you interested in attending FNCE 2019?

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* 11. Briefly describe your academic and career goals, and how gaining more experience with SCAN leadership will impact these goals?

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* 12. Are you able to attend FNCE on October 27 (beginning early in the morning) thru October 28 (early evening)? (yes/no)

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* 13. Attach CV or resume

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