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PWLE Engagement Community of Practice (CoP) INTAKE FORM
Purpose
: This form helps us learn about your background, experience, and interests so we can connect members and shape our Community of Practice to best support you.
Section 1 - Contact Information
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1.
Full name:
(Required.)
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2.
Email:
(Required.)
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3.
Organization / Affiliation (if any):
(Required.)
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4.
Location (City, State, Country):
(Required.)
5.
Pronouns (optional):