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Please complete the 2 minute survey below to stay connected.

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* 1. Were you a KUB TeenWorker?

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* 2. Please provide the following contact information.

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* 3. What high school did you attend?

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* 4. What year did you graduate from high school?

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* 5. Are you interested in attending KUB TeenWork events? (Select all that apply).

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* 6. What is your preferred method of contact? (Select all that apply)

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