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Last Name
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Email
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Current Employer / Organization
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Current Title / Role
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Why are you interested in joining the CTRL Shift Founding Advisory Council?
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Briefly tell us about your professional, nonprofit, community, board, volunteer, or other experience that could help CTRL Shift.
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Where could you contribute to CTRL Shift?
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How would you most like to contribute?
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Are there companies, organizations, professional networks, schools, community groups, or other relationships you could potentially help connect to CTRL Shift? If so, please tell us about them.
What level of involvement interests you most?
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Anything else you'd like us to know?
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