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1. Full Name (Required.)

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2. Organisation Name

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3. Job title or position

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4. Telephone number (Required.)

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5. Email address (Required.)

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6. What sector do you work in? (Required.)

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7. What experience do you have of social impact measurement?

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8. Which of the following best describes what you can bring to SIMNA?

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9. Are you interested in becoming a permanent member of the Steering Committee or an adviser to the group?

(Required.)

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10. What attracts you to SIMNA? (Required.)

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