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* 1. Can you tell us any experience you have in being a part of a group/ project/ club that is about positive social change or youth empowerment?

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* 2. Please can you tell us about a subject you think is important to young people right now?

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* 3. Please tell us anything else you’d like to share about yourself, or why you want to be on the steering group.

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* 4. Age

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* 5. Address

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