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* 1. Name of School:

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* 2. Name of participants:

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* 3. Do you have any dietary requirements?

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* 4. What is the biggest issue that you see young women facing today?

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* 5. What values do you want to see school support and develop within our young women?

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* 6. Are there any programs or resources that you currently use or are aware of that are successful in supporting the development of young women in schools?

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* 7. Contact Name:

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* 8. Contact Email:

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