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* 1. Please provide the following information so we can contact you!

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* 2. How would you like to get involved with the Diversity Awareness Partnership?

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* 3. If you have an idea that is not listed above, please use this space to tell us how you would like to get involved!

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* 4. What diversity issue(s) most interest you?

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* 5. Please indicate your availability below

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* 6. Would you be willing to make a donation to the Diversity Awareness Partnership?

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* 7. Would you like to become a fan of the Diversity Awareness Partnership Facebook page?

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* 8. Please feel free to use the space below to send us a personal message. Thank you for taking our survey!

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