Please fill out this form to indicate interest in advocating for the Housing and Essential Needs program to prevent cuts and protect state funding! 

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* 1. Contact Information

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* 2. Please choose which of the following best describes you (you can pick more than one)

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* 3. Please indicate which of the following issues you are interested in (you can choose more than one). 

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* 4. Optional:Please indicate how you'd like to advocate

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* 5. Let us know if you have other ideas or if there is anything else we should know!

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