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| Group Name: |
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| Other Group: (Please also contact asa-office@mit.edu) |
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| Executive Board Email: |
(please include @mit.edu) |
| Group Contact Email: |
(please include @mit.edu) |
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(who you want us to contact with specific questions - can be same as exec email) |
How many members of your group fall into each of the below categories? |
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(Please give approximate numbers if you do not know exact ones.) |
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