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Info to Facilitate Future Connection & Collaboration

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* 1. Name

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* 2. Email

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* 3. Organization/Agency

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* 4. Do you consent to share your information with other Roundtable attendees to facilitate future connection and collaboration?

Your Work in Colorado

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* 5. Which population(s) does your work serve?

This list is not intended to be all-inclusive; please use the comment box for populations not shown.

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* 6. What Colorado region(s) do you serve?

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* 7. Which community type does your work primarily focus on?

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* 8. What firearm harm type(s) does your work address?

Post-Roundtable Priorities & Engagement

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* 9. What’s your priority after attending the 2024 Roundtable?

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* 10. Is there an aspect of the FHVP framework you would like to learn more about?

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* 11. Are you interested in joining one of the FHVP Teams to further this work? Learn more about the various teams here.

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* 12. Would you like to be connected to any of the subject matter experts supporting the 2024 Roundtable?

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* 13. Do you know of young people who would be interested in participating in paid engagement opportunities?

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* 14. Who else should be involved or engaged in this effort? (Please provide name, email, and org/agency if you have it)

2024 Roundtable Feedback

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* 15. What feedback do you have about the 2024 Roundtable event?

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