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* 1. Please indicate below ALL DATES AND TIMES (all times are local time) in which you would be available to attend a Compass Conversation with LCLD Pathfinders in your city (for scheduling use only - - you will not be expected to attend more than one event).

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* 2. What is your first name?

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* 3. What is your last name?

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* 4. At what email address would you like to be contacted?

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* 5. What is your city/current location?

Thank you for volunteering to participate in the LCLD Pathfinder Compass Conversations!

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