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MDS Ambassador Application
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1.
First and last name
(Required.)
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2.
Email address
(Required.)
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3.
Which district are you part of?
(Required.)
Berkshire
Boston
Cape Cod
East Middlesex
Merrimack Valley
Metropolitan
Middlesex
North Metropolitan
North Shore
South Shore
Southeastern
Valley
Wachusett
Worcester
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4.
Why would you like to be an MDS Ambassador?
(Required.)
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5.
What specific strengths or insights do you hope to contribute to this program?
(Required.)
