Please fill out this short registration form. Space is limited in these sessions but we will make every effort to include everyone who registers.

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* 1. Please provide your name and contact information below.

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* 2. Which listening session do you plan to attend?

Registration for the Peoria, Mt. Vernon and the 1:00 PM Chicago listening sessions is now closed. Please email Brendan Flinn (brendan.flinn@lewin.com) if you are interested in participating in a web-based listening session at a later date.

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* 3. Which category or categories below best describe you? Select all that apply.

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* 4. Which of the groups below do you identify with or work with the most? Select all that apply

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* 5. Please tell us if there is anything we can do to make it easier for you to participate in this listening session. For example, would you like meeting materials in an electronic format? Should we arrange for an American Sign Language interpreter? Can we assist by arranging for and paying for local transportation?

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