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* 1. First Name:

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* 2. Last Name:

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* 3. Email Address:

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* 4. Please enter the following demographic information.

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* 5. What area(s) would you like to participate in (select all that apply)?

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* 6. What background/skills could you bring to organizing Technovation[MN] 2015 related to the area(s) you selected in question #5?

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* 7. What level of commitment are you able to sustain during the Technovation Challenge season (mid-January through mid-May)?

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* 8. What appeals to you about Technovation's mission of encouraging girls in technology entrepreneurship?

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* 9. How did you find out about Technovation[MN]?

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