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*I certify that the information I have given on this form is complete and correct. I understand my failure to provide complete accurate and truthful information on this form and any future reporting methods will be grounds to deny or withdraw any services or funds given to me by Spartan Innovations. I agree to respond to all questionnaires and update my progress in a timely manner. I agree to treat the Hatch space and other Hatch members and interns with respect. I understand that photos, videos and data will be used for reporting and marketing efforts.