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Regional Host application
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* Indicates required question
What is the name of your school?
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Your answer
What city is your school located in?
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Your answer
Adviser name
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Your answer
Adviser email
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Your answer
Adviser phone number
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Your answer
What MASC/MAHS Center are you located in?
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Your answer
Have you hosted a Regional CONNECT event before?
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Yes
No
Tell us why your school is interested in hosting a Regional CONNECT event?
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Your answer
Do you have a proposed Regional "theme" in mind?
Your answer
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