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Once you have entered or chosen the appropriate information please submit the form.
Today's Date:
January
February
March
April
May
June
July
August
September
October
November
December
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1998
1999
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Your Full Name:
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Are you a student or mentor?
student
mentor
Please select your top 5 choices for when you would like to lead the group.
For each choice make sure to select one item in each of the three boxes:
Month, Year, Part of the Month (first half or second).
CHOICE 1
January
February
March
April
May
June
July
August
September
October
November
Decmber
1998
1999
2000
CHOICE 2
January
February
March
April
May
June
July
August
September
October
November
December
1998
1999
2000
CHOICE 3
January
February
March
April
May
June
July
August
September
October
November
December
1998
1999
2000
CHOICE 4
January
February
March
April
May
June
July
August
September
October
November
December
1998
1999
2000
CHOICE 5
January
February
March
April
May
June
July
August
September
October
November
December
1998
1999
2000
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