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* 1. Full Name:

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* 2. Email:

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* 3. Major:

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* 4. How did you hear about this Leadership Workshop?

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* 5. Do you have any food allergies we need to be aware of? Please clarify. 

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* 6. If you have any accessibility needs, concerns, or requests, please comment below or contact Kelsi Streich at kstreich@mines.edu by October 25th.

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