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First Name
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Last Name
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MSU Net Id (initials & number)
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T-Shirt Size
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Did you participate in MSU on the Move prescreening in the Fall?
Are you a member of the MSU on the Move Stridekick app?
Which meeting time do you plan to typically attend ? (meetings will be held in classroom of Joe Frank Sanderson Center)
You will be assigned to an accountability group by the program. Do you have 2-6 other program participants you plan to be in an accountability group with? If you already have a group, please list the names of participants in your group. If you do NOT have a group already, that is okay, we will assign you to a group. If in a group, list names below, if not in a group, state 'no group'.
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Please let us know your general health goals: click all that apply.
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