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Potential teach-in host questionnaire
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* Indicates required question
Name or e-mail address so we can follow up with you
*
Your answer
Where are you based?
*
where do you work, volunteer or participate in an organization or movement?
on a college or university campus
in a community
Other:
Name of university/college or city
Your answer
Why are you interested in hosting a Next System Teach-In?
*
what motivates you? what Next System ideas resonate with you? or what simply made you click a link to find out more?
Your answer
What materials would you find most helpful in organizing a Next System Teach-In?
Your answer
Do you have any department, group or organizational affiliations you'd like us to know about?
Your answer
Do you have any questions for us at this time?
Your answer
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