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Alumni Intake Form
Get Involved, Ask Questions, or Share Feedback!
If you have a general question about getting more involved with Clark University, want to share feedback or an event idea, or if you’re interested in serving on the Alumni Council, GOLD Council, or alumni Affinity Associations, please fill out this interest form or email
alumni@clarku.edu
. Interested in more than one opportunity? Please fill out a fresh form.
Reason for Inquiry:
(Required)
Volunteer Opportunities
Alumni Council
GOLD Council
Clark Black Alumni Association
Clark LGBTQ+ Alumni Association
General Inquiry/Question
Alumni Engagement Idea
Alumni Feedback
Volunteer Opportunities Interest Form
Volunteer Interests
What sorts of volunteer opportunities are you interested in? Select all that apply:
(Required)
Admissions support
Career Connections Center support
Mentoring Clark students
Move-In Day volunteering (annually in mid- to late-August)
Event planning and promotion
Fundraising help/advocacy
Sit on a panel of alumni (virtual or in-person at Clark U)
Other (Please specify)
Select All
Other Volunteer Interest
Would you be interested in hosting your own alumni meet-up in your city?
(Required)
Yes
No
Maybe
Name
(Required)
Pronouns
Class Year
(Required)
Major(s) / Minor(s)
(Required)
Email
(Required)
Phone
(Required)
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Job Title
Organization
LinkedIn Profile
Alumni Council Interest Form
Serving on the Alumni Council involves a nomination and voting process. Please provide some basic information and a member of the Clark staff or Alumni Council member will reach out to you.
Have you served on the Alumni Council or Alumni Association Board in the past, or have you volunteered for Clark previously?
(Required)
Yes
No
Don't Recall
If Yes, please elaborate:
Name
(Required)
Pronouns
Class Year (Please include your graduate year if applicable)
(Required)
Major(s) / Minor(s)
(Required)
Email
(Required)
Phone
(Required)
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Job Title
Organization
LinkedIn Profile
GOLD Council Application / Interest Form
The GOLD (Graduates of the Last Decade) Council is for alumni within 10 years of their undergraduate degree from Clark. Please fill out the application and a member of the staff or GOLD Council will reach out to you.
Name
(Required)
Pronouns
Email
(Required)
Class Year (Please include your graduate year if applicable)
(Required)
Major(s) / Minor(s)
(Required)
Engagement Interests
What sorts of opportunities are you interested in? Select all that apply:
(Required)
Serve on GOLD Council
Event planning and promotion
Sit on a panel of alumni (virtual or in-person at Clark)
Wherever I'm needed!
Other (please specify)
Select All
Other
Would you be interested in hosting your own alumni meet-up or event in your city?
(Required)
Yes
No
Maybe
Demographic Questions
The GOLD Council is committed to enhancing Clark’s efforts toward diversity, equity, and inclusion. Please answer the following questions to help us ensure that the GOLD Council represents the larger Clark alumni community.
Ethnicity
(Required)
Caucasian
African-American
Latino or Hispanic
Asian
Native American
Native Hawaiian or Pacific Islander
Two or More
Other / Unknown
Prefer not to say
Other
Where are you from?
(Required)
City
State / Province / Region
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Additional Identity / Experience Questions
Help us enrich the diversity of our groups! Select any identities that can aid in serving your needs or the needs of the Clark community. (This section is voluntary and you can select more than one)
LGBTQIA+
Neurodiverse
Spiritual / Religious (Faith Practice)
First Generation Student / Graduate (first in immediate family to graduate from college)
International Student
Study Abroad
Other(s):
How do you identify?
Feel free to share any information to clarify:
Specify:
Country of Origin:
Country(ies):
(Please Share)
Are you wanting to apply to join the GOLD Council?
Yes
No
GOLD Council Questions
Please list all of your involvement during your time at Clark. These could include leadership positions, clubs, organizations, part-time jobs, etc.
(Required)
In no more than 250 words, why do you want to join the GOLD Council?
(Required)
In no more than 250 words, what are your top 3 goals for the GOLD Council?
(Required)
What is your potential availability to dedicate to the GOLD Council (e.g. 4-5 hours/month)?
(Required)
Utilize this space to share any feedback, ideas, or any additional information we need to know more about you / your application.
Clark Black Alumni Association Application / Interest Form
The Clark Black Alumni Association (CBAA) seeks to affirm, enrich, and serve the Black experience at and beyond the University. The group’s objective is to support the development and growth of the institution’s Black alumni. A hallmark of the group is to foster connections and networking across generations. Please fill out the application and a member of our staff will reach out to you.
Name
(Required)
Pronouns
Email
(Required)
Class Year (Please include your graduate year if applicable)
(Required)
Major(s) / Minor(s)
(Required)
Engagement Interests
What sorts of volunteer opportunities are you interested in? Select all that apply:
(Required)
Serve on CBAA Leadership
Join CBAA email list for event and community updates
Event planning and promotion
Sit on a panel of alumni (virtual or in-person at Clark)
Wherever I'm needed!
Other (please specify)
Select All
Other Volunteer Interest
Would you be interested in hosting your own alumni meet-up or event in your city?
Yes
No
Maybe
Demographic Questions
Alumni & Friends Engagement is committed to enhancing Clark’s efforts toward diversity, equity and inclusion. Please answer the following question to help us improve alumni engagement and maintain accurate data.
Ethnicity
(Required)
Caucasian
African-American
Latino or Hispanic
Asian
Native American
Native Hawaiian or Pacific Islander
Two or More
Other / Unknown
Prefer not to say
Other
Where are you from?
(Required)
City
State / Province / Region
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Additional Identity / Experience Questions
Help us enrich the diversity of our groups! Select any identities that can aid in serving your needs or the needs of the Clark community. (This section is voluntary and you can select more than one)
LGBTQIA+
Neurodiverse
Spiritual / Religious (Faith Practice)
First Generation Student / Graduate (first in immediate family to graduate from college)
International Student
Study Abroad
Other(s):
How do you identify?
Feel free to share any information to clarify:
Specify:
Country of Origin:
Country(ies):
(Please Share)
Are you wanting to apply to join the CBAA Leadership?
Yes
No
CBAA Leadership Questions
Please list all of your involvement during your time at Clark. These could include leadership positions, clubs, organizations, part-time jobs, etc.*
(Required)
In no more than 250 words, why do you want to join the CBAA Leadership?
(Required)
In no more than 250 words, what are your top 3 goals for the CBAA Leadership?
(Required)
What is your potential availability to dedicate to the CBAA Leadership (e.g. 4-5 hours/month)?
(Required)
Utilize this space to share any feedback, ideas, or any additional information we need to know more about you / your application.
Clark LGBTQ+ Alumni Association Application / Interest Form
The Clark LGBTQ+ Alumni Association (CLAA) is committed to the integration of personal and community power to affirm, liberate, support, and celebrate LGBTQ+ Clarkies. We aim to build solidarity among LGBTQ+ Clark alumni and students, to provide positive experiences and brave spaces on and off campus, and to advocate for current LGBTQ+ Clark students. Please fill out the application and a member of our staff will reach out to you.
Name
(Required)
Pronouns
Email
(Required)
Class Year (Please include your graduate year if applicable)
(Required)
Major(s) / Minor(s)
(Required)
Engagement Interests
What sorts of volunteer opportunities are you interested in? Select all that apply: *
(Required)
Serve on CLAA Leadership
Join CLAA email list for event and community updates
Event planning and promotion
Sit on a panel of alumni (virtual or in-person at Clark)
Wherever I'm needed!
Other (please specify)
Select All
Other Volunteer Interest
Would you be interested in hosting your own alumni meet-up or event in your city?
(Required)
Yes
No
Maybe
Demographic Questions
Alumni & Friends Engagement is committed to enhancing Clark’s efforts toward diversity, equity and inclusion. Please answer the following question to help us improve alumni engagement and maintain accurate data.
Ethnicity
(Required)
Caucasian
African-American
Latino or Hispanic
Asian
Native American
Native Hawaiian or Pacific Islander
Two or More
Other / Unknown
Prefer not to say
Other
Where are you from?
(Required)
City
State / Province / Region
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
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