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First (Given) Name
Last (Family) Name
*Please give your full academic title. Use "Graduate Student" where appropriate or "Independent Scholar" if unaffiliated.
*If none, "---"
**If you're coming from an affiliate institution, please specify the department or faculty and the name of the university. If you're not sure whether your department or institution is an affiliate of IWL, please consult our interactive map showing our current affiliates:
*City and Country
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