We have reached a very critical point where your support is needed. To keep the momentum going, we need to have actual numbers and names of people who are supporting this movement in Georgia. Your sharing of your information now means a better chance of success for inclusive PSE in Georgia for the future. We will not share your contact information, just your name and your organizational affiliation (if permission is granted).

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* 1. First Name

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* 2. Last Name

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* 3. E-mail

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* 4. Organization

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* 5. How do you classify yourself?

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* 6. I give permission to the GAIPSE Consortium to share my name only with statewide stakeholders and legislators for the purpose of showing support for inclusive post-secondary education in Georgia. Any further information requested will not be distributed without your consent.

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* 7. I give permission to the GAIPSE Consortium to share my organizational affiliation only with statewide stakeholders and legislators for the purpose of showing support for inclusive post-secondary education in Georgia. Any further information requested will not be distributed without your consent.

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