Apply to become a LifeStart Social Media Reporter

Fill out this survey to be considered.

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* 1. What's your name?

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* 2. What's your email?

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* 3. What do you study?

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* 4. Where do you study?

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* 5. Why would you want to join the team?

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* 6. Tell us more about yourself...

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* 7. Share a link to your application video

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* 8. Share more about you

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* 9. Please confirm that you agree to the following:

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