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* 1. NAME (FIRST & LAST) & EMAIL

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* 2. EDUCATIONAL INSTITUTION

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* 3. MAJOR

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* 4. LEVEL OF EDUCATION (IN PROGRESS)

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* 5. PROVINCE

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* 6. COMMITTEE YOU WOULD LIKE TO JOIN (1ST OPTION)

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* 7. COMMITTEE YOU WOULD LIKE TO JOIN (2ND OPTION)

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* 8. What skills/experience do you have that would be an asset for your 1st choice committee?

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* 9. What skills do you possess that would allow you to manage your work with NEADS as well as your other commitments?

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* 10. What experience (if any) do you have in the disability rights movement - locally, provincially, nationally, or internationally?

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