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    2000 NATIONAL YOUTH
    LEADERSHIP FORUM ON MEDICINE

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    Yes, I accept my nomination to attend the 2000 National Youth Leadership Forum on Medicine. Please send my Forum registration packet immediately.

    I certify that my current grade point average is at least 3.3 on a 4.0 scale and that I will graduate from high school in 2000, 2001, or 2002.

    I understand that accepting my nomination does not obligate me or my parents in any way.

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    Please reply by May 19, 2000.

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