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Contact Information
First name
Middle (if one is preferred)
Last name
Email address
Department
Campus MSC
Does the MCGE have permission to list your name in the public directory
Yes
No
Committee Interests - please check all you are interested in. (optional)
Dominion Lecture Committee: implements the Dominion Lecture by identifying a speaker, actively participating in hosting the speaker, and staffing the event.
Professional Development Fund Committee: reviews applications and selects recipient(s) annually.
I am not available this year
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