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Epilepsy Advocate Application
If your life has been affected by epilepsy and you feel inspired to help and inform others with epilepsy, sign up for the chance to join our team of Advocates today! Those 18 and older can complete the brief form below for a chance to be interviewed for the possibility of epilepsy advocacy. You must give us permission to contact you. Please do not share any other information with us at this time.
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By sharing your contact information, you agree to being contacted by a member of the Epilepsy Advocate team.
Epilepsy Advocate™ and Strength in Numbers™ are trademarks of the UCB Group of Companies.
©2022 UCB, Inc., Smyrna, GA 30080. All rights reserved.
US-P-DA-EPI-2200085
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