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* 1. Full Name:

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* 2. Title:

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* 3. Community:

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* 4. Do you have staff or volunteers that are currently students enrolled in school?

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* 5. Of your staff or volunteers that are students, do you have any that are foreign nationals and are in the United States on an F-1 or M-1 Student Visa?

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* 6. If yes, how many staff or volunteers work in your facility and are in the United States on an F-1 or M-1 Student Visa?

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* 7. What position do these staff or volunteers hold in your facility? Select all that apply.

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* 8. During the spring or summer term did the students school move to an all online format?

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* 9. Is the students school planning to continue in an online format only this fall?

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* 10. Additional comments: (optional)

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