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* 1. First and Last Name

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* 2. Which location is best for you?

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* 3. Your brief bio? [where you are from, degree major, professional experience. Our jury board is an intimate group, please share whatever describes you the best]

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* 4. Approximate Age

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* 5. Why would you like to join the Jury Board? 

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* 6. Email address to contact you

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* 7. Best phone number for a quick introduction?

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