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* 1. What's your name?

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* 2. What e-mail address should we use to contact you?

This working group is intended to be primarily composed of young adult community members of color. Providing the demographic information below is optional but will help us learn if community interest is aligned with the project's purpose.

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* 3. How old are you?

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* 4. Which best describes you?

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* 5. What is your gender?

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