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Club president's name? *
Your answer
Are you the president of the club? *
What university or high school is your club associated with? *
Your answer
What is the name of your club? *
Your answer
How would you prefer we communicate with you? *
Club president's email address? *
Your answer
Club president's cell? *
Your answer
How many students regularly attend your meetings? *
Your answer
How long has your club existed? *
Your answer
How often, (if at all) does your club participate in campus outreaches that are oriented toward creating dialogue with pro-choice students? *
Your answer
If your club is approved, you will be obligated to complete an outreach within six months of starting the course. What month will your club's outreach be?
Is there anything else you'd like us to know about you or your club?
Your answer
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