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* 1. What is your Rank?

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* 2. What is your name?

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* 3. What is your PHS SERNO# (required for certificate of appreciation)?

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* 4. What is your Agency?

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* 5. What is your USPHS category?

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* 7. How long have you been in the USPHS?

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* 8. Please provide your e-mail address and telephone number.

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* 9. How many CVs are you willing to review?

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* 10. How many OSs are you willing to review?

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