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* 1. What is your name?

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* 2. What is your position at UCSF?

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* 3. We are hosting an Op-Ed contest ahead of the midterm election! Submit an Op-Ed by Nov 6th to be eligible for cash prizes of $100-$300! Are you interested in writing an Op-Ed?

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* 4. If so, what topic(s) are you interested in writing an Op-Ed about?

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* 5. What is your hometown (and zip code if you know it)?

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* 6. Which of the following workshops/events might you be interested in attending?

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* 7. What is your email address?

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