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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 email address?

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* 4. What will your mailing address be on August 1, 2018?

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* 5. We do not want housing to be an obstacle to participation in the Community Fellows Program. Would you need assistance with housing in Charlottesville between August 13-15 if you were selected as a Fellow?

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* 6. Imagine that it is your law school graduation day and you are looking back over your three years at UVA Law, what have you accomplished during that time? (400 words or less)

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