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- My preferred pronouns are:*
- I identify as:*
- I identify as:*
- I identify as:*
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- Please select all that apply from the list below. In the "Other" field, provide any other certification or credential not listed below.*
- Area(s) of expertise: (select all that apply)*
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- Have you ever been convicted of any crime, including speeding violations?*
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- Because we work with many different types of schools, they have a variety of rules with which our presenters must comply. Please select ALL the items below with which you CAN comply while on campus or interacting with a client or their parents, students, faculty, coaches, and/or any other school employee or representative.*
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- Do you have a reliable car and car insurance?*
- Do you have a valid driver's license?*
- Are you comfortable flying on an airplane?*
- Are you comfortable being transported by your host around campus and/or to and from the airport?*
- Are you comfortable staying with a host family at a school?*
- Are you comfortable staying in a guest house or guest room on campus at a school?*
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- Would you like to receive the COS Newsletter?*
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- Should be Empty: