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* 1. Please rank, in order of importance, how your consortium is funded. Use n/a if you receive no funding from the specified source.

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* 2. If you answered "Governmental Grants (Non-LSTA)," "Non-Governmental Grants," or "Other" in Q1, please describe.

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* 3. How is your consortium administered? Please select the answer that most closely matches your situation.

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* 4. Consortium Name

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* 5. Your Name (Optional)

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* 6. Your Email Address (Optional)

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