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* 1. I will attend the Women Staff Leadership Initiative Information Meeting on April 15, 2013 at noon in Room LL 06 Kelvin Smith Library.

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* 2. Please give us your name

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* 3. Please give us your email address

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* 4. Please give us your work phone number (We will call only in the event of a change in plans.)

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* 5. What is your job title?

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* 6. Please give us the name of your office or department.

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* 7. What is the Location Code of your office?

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* 8. In what School or Unit are you located?

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