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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your current job?

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* 4. What is your email address?

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* 5. What is your telephone number?

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* 6. Briefly describe your ELT experience. Feel free to include links to publications and/or professional profiles.

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* 7. Please provide the following information regarding the conference you'd like to attend and report on:
  • Conference name
  • Conference location
  • Conference dates
  • Conference registration cost
  • Conference website

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* 8. Why do you want to attend this conference and what makes you qualified to be an OLLReN Roving Reporter?

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