1. Regional Consortium for Sustainable Communities

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* 1. Contact Information

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* 2. Please indicate if you are a member of/ affiliated with any of the following organizations.

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* 3. Which of the following describes your area of expertise and/ or interest (you may select more than one).

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* 4. Please tell us how you wish to be involved.

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* 5. Is your organization interested in being a signatory to the Consortium's Memorandum of Understanding stating your commitment to the effort should funding be awarded?

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* 6. Please describe the value that a shared regional vision and comprehensive plan for growth and development would have to your organization.

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* 7. Please describe what roles your organization would play over the course of a 3-year program (e.g., active participant, facilitator, adopter of vision, implementer of plans, etc.).

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* 8. Please describe any contributions your organization may be willing to make to support the effort? This may include the donation of cash, supplies, materials, meeting space or in-kind serviecs.

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* 9. Which of the folloing types of IN-KIND CONTRIBUTIONS could your organization make?

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* 10. Would your organization consider making a CASH DONATION if the opportunity was appropriate?

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* 11. If you would like more information about how you can participate in one of the established non-profits and/or regional organizations, please identify them.

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* 12. Please provide the names and contact information for anyone that you feel should be included on communication about this effort.

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* 13. Please share any other suggestions or comments.

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