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33% of survey complete.
Contact Information

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* 1. Contact Information

Indigenous Ancestry & Nation/Band (If Applicable):

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* 2. Indigenous Ancestry & Nation/Band (If Applicable):

Will you be able to attend the entire program? (Part 1 October 19th-22nd) & (Part 2 November 2nd-5th)

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* 3. Will you be able to attend the entire program? (Part 1 October 19th-22nd) & (Part 2 November 2nd-5th)

Do you foresee any barriers that may keep you from fully participating in the program?

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* 4. Do you foresee any barriers that may keep you from fully participating in the program?

The Community Leadership Program is a project based program. Are you comfortable to work on a project for your community either alone, or in a group?

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* 5. The Community Leadership Program is a project based program. Are you comfortable to work on a project for your community either alone, or in a group?

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