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* 1. Name

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* 2. I would like to be part of the model review for:

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* 3. I can meet the time commitment from 4:00 pm - 8:00 pm for this committee on the following dates:
** high school Oct 22, Nov 17, Dec 15, Jan 14
** middle level Oct 22, Jan 22, Feb 26, Mar 26

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* 4. I would be available if additional small subcommittee work is required between the large committee meetings.

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* 5. I would like to represent the following group:

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