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* 1. Recognition Name:

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* 2. Member ID

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* 3. Email Address:

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* 4. What age demographic in START are you?

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* 5. What would be a helpful tool to have in START? (More video resources, events, trainings, etc.)

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* 6. Please nominate a START leader that you would like to see train in START (Whether in the Facebook group, Instagram, events or etc.)

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