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* 1. Where will your chapter be located?

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* 2. How far is your proposed city from the nearest CMSA chapter?

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* 3. Who is the primary contact for the new chapter?

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* 4. How many people will you have to assist with starting this chapter?

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* 5. How many current CMSA members will you have to assist starting this chapter?

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* 6. What is your interest in developing a new CMSA chapter?

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* 7. Has a group meeting been held to determine the level of interest 

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* 8. Date of Meeting

Date

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* 9. Location of Meeting

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* 10. Attendance list and minutes from meeting(s)

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* 11. Additional Comments: 

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