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1. Please provide us with your contact information. (Required.)

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2. What other social movements or sectors have you involved in this work?

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3. What is one idea you have for moving people to action?

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4. How have the cultural events of recent years impacted the way you communicate about your work to prevent sexual and intimate partner violence?

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5. Which strategy or strategies fit most closely with the work you described above? Please select all that apply.

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6. Are you available on October 29, 2019 at 11 am Pacific / 2 pm Eastern

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