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* 2. Name:

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* 3. Title:

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* 4. Email:

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* 5. Phone:

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* 6. Teaching Discipline:

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* 7. Are you currently involved in your college’s guided pathways work? If yes, please share your role:

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* 8. Which of the following roundtable sessions would be of interest to you?

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* 9. If you are interested in hosting a roundtable, please choose the topic you would be interested in:

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* 10. Do you require any accessibility accommodations?

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