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* 1. What is your name? 

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* 2. What is your email? 

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* 3. What district/organization are you representing?

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* 4. Which district are you nominating? (Please note that you can nominate yourself)

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* 5. How did you hear about the League of Innovative Schools? 

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* 6. Can we follow up with you by email for more information?

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