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What is your name?

What is your email address?

Did you participate in a Mission Purpose: Recruitment Activity?

Yes
No

If Yes, please describe your activities (where, when, how many people, main topic and any specific follow up actions for AGNR team to do?)

Did you participate in Mission Purpose: Network Building?

Yes
No

If Yes, please describe your networking building activities (where, when, what event, main purpose and any specific follow up actions for AGNR team to do?)

Did you participate in Mission Purpose: Raising Awareness?

Yes
No

If Yes, please describe your raising awareness activities? (where, when, what events, purpose and any specific follow up actions for AGNR team to do?)

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