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* 1. First and last name:

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* 2. Email address:

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* 3. How long have you been an ITNS member?

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* 4. Have you ever volunteered with ITNS before?

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* 5. Do you have any experience with planning an educational event?

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* 6. Please briefly describe your interest in applying for the AMPC:

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* 7. Please upload your current CV here:

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