Name:

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* 1. Name:

Email address:

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* 2. Email address:

SIG, Region, Committee, Program you chair and/or represent (if any):

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* 3. SIG, Region, Committee, Program you chair and/or represent (if any):

In what ways can APA achieve its 2017-2022 Strategic Plan and/or are there specific contributions you can make to help us achieve our goals?

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* 4. In what ways can APA achieve its 2017-2022 Strategic Plan and/or are there specific contributions you can make to help us achieve our goals?

Please provide any feedback on the PAS meeting below. What do you like about the meeting? What, if any, would you change?

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* 5. Please provide any feedback on the PAS meeting below. What do you like about the meeting? What, if any, would you change?

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